1980, 02-11 Permit: 80-1036 Heat Pump, Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENTMD - 1D3f0
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE / ,S'/ c?lJ
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
..........41......" 0 4 * * 9.0 0
1. /�j `; a� 4, LEGAL DESCRIPTION — SEE ATTACHED * 9.0 0 07
LOT L CK SUBDIVISION PARCEL NUMBER/S * 9.0 0 C.3
2.
OWNER PHONE E * 0,0 0 8
3. p . (�vt e },<_,,J_.0--„_--- y a L --a Z Is' 1 0 3.5 2
ADDRESS ZIP Required Set Backs in Feet
fY ---7-9-1—.2--- North 'South East (West 0 2- 1 1 -8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 9/ 6-r"`� , ? :i-7 ' � d .6- °y-yyT,s 2 6 4 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
rc (? .,1-/ , `�-. , � 9 . e 6- Oyes ❑No CI Req'd.
DESIGNER 1�Y[/� H
PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No.Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. gAD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. CI PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8. 1---i p ? - as to / - /,G>,et-/ ���� ti-J.L. - tip- . ',� , ..-"...,-�.t.e. FEES COLLECTED
VALUATION Source GAS EL CTRIC ATER 1 I 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 o
v
Planning — w
Mobile Home
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE2'11e) `
OFFICIAL ') 1,1 — Q O. i (�J‘3, 6 * 9.0 Li :'1 APPROVED FOR ISSUANCE