1981, 12-04 Permit: 81B-2419 Heat Pump PLAN NUMBER APPLICATION/PERMIT . PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT Ill tt3 -' fp'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
coJ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADD ss /�// /�/./.�.• LEGAL DESCRIPTION — SEE ATTACHED
1.
LOT BLO K SUBDIVISION PARCEL NUMBER/S
2. 04 * * 14.00
E.
,*Ni b7ee? —
� � * 140o
3'
� ` ZIP Actual Set Backs Feet
�7 Z-. /*) North [South East 'West * 1 4,0 0 6
CO CTOR ( I//%_—,qL �/�jjN i 7.�¢e of Parcel Zone Classification A * 0,0 0 c�
�7�/���v�• W �../�!! �/ate
4' A E A (!// �k Type Const. Occupancy Sprinklered 2 4 1,
• DYes ❑No ❑ Req'd. 1 L 0 4—ci 1
DESIGNER PHONE Valuation Building Area in Sq. Ft.
64.79,
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
D NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
], OF ❑ OTHER
WORK 0 BLD. El /PLMB. �11'�r MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D CRIB WO Enum. Dist. I Location (Area)
8 FEES COLLECTED
VAL ATION
SOURCE GAS ELEC/ C WATER SEWER Ownership USE CODE
OF
9. UTI LLITIES 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
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.ion. SEE REVERSE SIDE FOR REQUIRED INSPECTION D Plumbing
DATE OF APPLICATION_/�/ q/A/
/ SIGNATURE OF APPLICANT Mech. H
0
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA %ti.
PPlanningCDfJ
— t.IJ
Fire Marshall Mobile Home
W
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
_ SEPA Checklist THIS BECOMES A PERMIT.
Bui ech ' 4 PERMIT IS NONTRANSFERABLE 12.-0f 4 -8 1r 2 41.9 z * 1 Q: a -
J' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL