1980, 01-31 Permit: 80-738 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
2.
3.
4.
5.
JOB ADDRESS-,
L. 13S/1 v t�
LOT
OWNER
ADDRESS
BLOCK
CONTRACTOR
ADDRESS
DESIGNER
SUBDIVISION
C
LEGAL DESCRIPTION — SEE ATTACHED
ti 4Q4,�t
(74 . ,-.d.At ,.
ION E
c; —17(r0
ZIP
PHONE
&79:,o 7
PARCEL NUMBER/S
Required Set Backs in Feet
North (South
Size of Parcel
Type Const.
Occupancy
!East (West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE
6.
FROM
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
8.
❑ NEW
❑ BLD.
DESCRIBE WORK
❑ ALT.
❑ PLMB.
riNI,AD'N. ❑ RPL. 0 MVE.
t„/Z MECH: ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
VALUATION
9.
p,J cd`
Source
of
Utilities
GAS
ELECTELECTRIC
WATER
SEWER
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 .te or local lawulating construction or the
performance of construction.ruti
DATE 1- ,�jO— 3V
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D_ REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIA
NDITIONS:
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check L
SEPA
Mobile Home
Other (Specify)
TOTAL $ q•oo
PERMIT NUMBER
N .6k0- -13s
DATE I'3O
04*
*9.00
*9.00 N
*9.00
E *0,00 0
737$
01-31-80
2 6,479,
DATE i'431. $V OFFICIAL4 CtiNiJ%i,
APPROVED FOR ISSUANCE
WHEN MACHINE VALIDATED IN THIS SPACE,
THISlaECOMFS A QERMIT.
fu I
73.88 *9.00
O