HomeMy WebLinkAbout1980, 02-28 Permit: 80-1631 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 4 COPIES
JOB ADD�(" T/
)0(d k 1
LOT BLOCK UBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
3
4.
OwN i d co r\ K'a h U S
PHONE
PARCEL NUMBER/S
ADDRESS
/ 7 /1N U.}O v J
TRACTOR
c��/ie rL
7Q
Required Set Backs in Feet
North !South
East
West
DDRE55
DESIGNER
5. ADDRESS
PHONE Size of Parcel
CHANGE OF USE FROM
6.
TO
ra0a.
PHONE
ZIP
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
DWL Area l Basement Area Garage Area
Split Entry
Split Level
®'
Rancher
TYPE
7. OF
WORK
❑ NEW ❑ ALT. ❑ AADD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. Lit MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd
Not Req'd.
D CRIBS WORK I
8. PO 30 _I) - i/�
I
�� rn
VALUATION
9.
Source
of
Utilities
GAS
ELECT
GC)c s • r1 i
WATER SEWER
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 of4onstrucyon.
DATE
DEPT.
7/s
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITION
DATEa- l 9/v OFFICIAL ' w� Cv'y' , V\
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. /'
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
a
7/x 6
04*
*9.00
* 9.00 (%
* 9.006
E *0.00
163.02
02-28-80
6479.
1'1'1 1 3 00
/ 00
1—
U
— w
0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
021-28-80'
163,12 *9,00°�IJ-