1981, 01-19 Permit: 81A-0598 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
• ' SPOKANE COUNTY — BUILDING CODES DEPARTMENT ti - )-76
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
• APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04 * * 2 0 0 0
5 37/5'' tiOU�G,'/�Z�r A� LEGAL DESCRIPTION — SEE ATTACHED
1. * 2010
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 * 20, 006
OWNER PHONE A .k Q 0 0 E
3. 11//1 S 9:21V-33IrCi
ADDRESS ZIP Actual Set Backs in Feet 5 9.7 2
S 3? ' 044,es 5,f'c,e,t.-t 7' ,R.406. North !South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 1 - 1 9-8 1
4. Ci el(A. /kr¢f� tE/rc Y—
/ -'- 901 .z'vo 2 6479,
ADDRESS S./. ,/ ZIP Type Const. Occupancy Sprinklered
/d` 7 C /r✓G" C Li G A' e 99.0t/C- ❑Yes ❑No ❑ Req'd.
•
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
I NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF / ❑ OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION _
DESCRIBE WORK Enum.Dist. I Location (Area)
8. g r-4 pkL I:4/C/k-fr H`ct f A. FEES COLLECTED
VALUATON SOURCE S ELECTRICTPWATER
SEWER Ownership USE CODE
OF
9. UTILITIES Public El Private 0
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
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION / / I/ SIGNATURE OF APPLICANTs%�------ —' Mech. J.'4-4,1
SPECIAL APPROVALS SPECIAL CONDITIONS: t% ft/AA-tele' 0 O'
N
NAME DATE I Plan Check
�f1
Env. Health �� �'I— �
� //
17 � 4' IC :--
SEPA
SEPA
Planning �y�1 If�1 r�
Fire Marshall -I 5 J — kJ\i' r �r Mobile Home -I
Co. Engineer 10• 9 d Other(Specify)
Utilities
IL-, p '7 _ 12 V'11 f
i) TOTAL $ t-70'7
Plans Examiner /-
WHEN WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildi Tech Icia PERMIT IS NONTRANSFERABLE ,0,1,L .9
1 '8 11 5 9 8 z * 2'0.0 0 R F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL i