1982, 07-23 Permit: 82A-6384 Heat Pump(PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
APPLICANT:
COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
JOOBADB OSLK UBDIVISION � ! �i��(�IGC��• (/'/�C/ L-••
5.
6.
R ES7:1 iCe
ril
0:20 .14L1
R Ec ) -� /
DESIGNER !
ADDRESS
V-Aiov
ZIP
goi
LtGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South (East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
PHONE
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors I Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
9.
❑ NEW 0 ALT. 0 AD'N. 0 RPL.
❑ BLD.
RRl�
ALUATION
0 PLMB. ,'MECH. 0 M.H.
,e/w
SOURCE
OF
UTILITIES
GAS
ELIC
❑ MVE.
❑ POOL
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building'gyfhn�ia
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSHGNCF
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /6213
PERMIT NUMBER
04* *14.00
*14006
*0,00
638..32
07-26-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
6 -'8 2
rIATG ICC irr�
6'38.42 *1400 -
FII F rnP\