HomeMy WebLinkAbout1980, 04-23 Permit: 80-3854 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
{t /M 111— 3 C6S`")
—7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 — I - 0
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * * 9,00
JOB ADDRESS L- // v �� _�^� LEGAL DESCRIPTION — SEE ATTACHED * c.0 0
1. `� t� /f .fey ` 'v
LOT BLOCK SUBDIVISION �f PARCEL NUMBER/S * 9.0 0 v
2. I1
OWNER PHONF E 0.0 C
3. `� 3
ADDRESS L��� ZIP Required Set Backs in Feet 8 5 3 R
y' ,)1L:;__, North (South East IWest 0 4—2 3—8 0
CONTRA C[T'AR _., PHONE , Size of Parcel Zone Classification
_l...`._ L t k / tA. I1/4Q- ,), �CN.C.- - „3;67-51:-)47'J 6 4 7 9.
4.
ADDRESS !,� Z !/ Type Const. Occupancy Sprinklered
2: . c ',,i),1„ciAQ;L.'LC>L, / ' cyc' ! ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE
❑ NEW ❑ ALT. OfAD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. 0 PLMB. .'3 MECH: ❑ M.H. 0 POOL CERTIFICATE
-of EXEMPTION
DESCRIBE WORI FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of iVI
9. Utilities '\
Single $
—
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 Building
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
performan a of construction. r Plumbing
DATE I+ ` S� SIGNATURE_ 1, tLL"..2
Mech. 3,�C.
SPECIAL APPROVALS SPECIAL Cto DITIONS: t t''�'
DEPT. REQ'D. REC'D. Plan Check 4
Env.Health x
SEPA `)
H-:.a
Planning — w
0_
Mobile Home
Fire Marshall T
Co. Engineer Other (Specify)_
Utilities TOTAL $ ,4''1i1-,
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS B CTOMES A.PERMIT.
0 4;-2) g .T 5 2 '5.4 * 9, ii U
DATE14/ 3/ .7^OFFICIAL �� l
1 APPROVED FOR ISSUANCE —