1980, 03-25 permit: 80-2647 Heat Pump PLAN NUMBER
APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT iti1--�0" ( i�kv7
' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 9 O 0
JOB ADDRESS1. , n
E_I��d�� 02-24' LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9 O 0
2. E
OWNER PHONE
3.J \1‘ wig - COISST 5:35-4./g 26&6R.
ADDRESS ZIP ^ Required Set Backs in Feet
PO. tc,e `,g7R L.8 North 'South East (West0 ,
CONTRACTO PHONE Size of Parcel Zone Classification
4. /' 1 H EAT) Nta q f11Pfrot\Yo -.9 T/ i4.. r; r,
ADDRESS +� 99 0e Type Const. Occupancy Sprinklered
E. 1 4 ❑Yes ❑No ❑ Req'd.
DES�R 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. ,
TYPENo. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER -
CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. 0 MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
i FEES COLLECTED
8.
VALUA u 11- -
Source GAS ELECTRIC WATER SEWER
of
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
performance of construction. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA `�
Planning .- u
2
Mobile Home
Fire Marshall _->
Co. Engineer Other (Specify)
Utilities ��tt
TOTAL $ .DO
Zone Clearance
1 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist // THIS BECOMES A PERMIT.
r l
DATES FFICIAL - C 1/U V\ ✓ 0 -L s-u � L t. l 9Uf
• . 1--
APPROVED FOR ISSUANCE
_