1980, 10-22 Permit: 80B-2466 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT
2.
(�0
} . Lu+ o-gL
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER �.
3. ��-ta` L L ti
ADDRESS
1`1c n. Luo
PHONE
ZI P
CONTRACTOR
(��
4, 1�-,..-rsa
ADDRESS
DESIGNER
5. ADDRESS
PHONE
4 3 "cS Z S Z.
7,rIP
co cc
PHONE
Actual Set Backs in Feet
North (South (East (West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd_
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. L -(6Z 4Z —rt 1/Y' C—rt Cir
9.
VALUATION SOURCE
OF
UTILITIES
GAS
ELECTRIC
X
WATER SEWER
Enum. Dist.
ILocation (Area)
Ownership USE CODE
Public ❑ Private ❑
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 INSPECTIONS
OAU -t19. fA'U-� Lk}��
v � • SCC 1Y
DATE OF APPLICATION
IC - a SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Technic n
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
p784
PERMIT NUMBER
04* *9.60
*9.00
*9.006
A *0.00
246,52
10-22-80
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0':•=-2'2 - 8 0'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
246.6a
PERMIT NO.
9.Uo AL1-