1982, 07-23 Permit: 82A-6338 Heat Pump, Furnace PLAN NUMBER PERMIT NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BURPING CODES DEPARTMENT _ '
I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
(bi APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 6 3 3 7 s
/J ` / ` LEGAL DESCRIPTION - SEE ATTACHED
1. LOTi' BL(CK: SUBDIVISION PARCEL NUMBER/S 0 7- 2 3-8 2
2.
6,479.
OWNER PHONE }
3. 4_/tD�/cf. .�` eUt�cn"�1-ncP. Qc ;��'i2tccf
D RES5/!^1 3 J Z P ✓� 1 1 Actual Set Backs in Feet
{y (Q C{ •7l ( (CI North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4.
1A.)[;)de... / 'lpei e i L', J539-c9 ?
ADDRESS�/(�C ZIPy Type Const. Occupancy Sprinklered
E, 'Y 9 9 6e rC c l IP9 7 Dyes ❑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. 0,I1. ,Flocks ic,
TYPE {:2,/'-' No.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK 6200 Arv1FF 56,c L ;er 1 a..;Dr, 44to a4/9,..,0100Enum. Dist. !Location (Area) r
8 FEES COLLECTED
/S (sJ LlT r1�n�'1 I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 /� ,,/A Plumbing
DATE OF APPLICATION 7- a3 ` ga SIGNATURE OF APPLICANY I' (k)60/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
Planning
Fire Marshall 172.
Mobile Home -I
Co. Engineer Other (Specify)
Utilities
TOTAL $ '.,-Y '
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
illi hllician, PERMIT IS NONTRANSFERABLE 0 7 i 2.3.-8 2. 6 3 3 8 2 *1 9.0 0 2
_ I
\ if PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL