1982, 05-20 Permit: 82A-3974 Heat Pump PLAN NUMBER APPLICATION/PERMIT ni, PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT g� - �4—
b NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /nq/r e, 7 -"1-- LrGAL DESCRIPTION — SEE ATTACHED U 4 * * 1 4.0 0
L�
LOT BnLO K SUBDIVISION PARCEL NUMBER/S * 1 4.00
2 OWNER.' \ ' PoONE * 1 4,O O 63. �/ +Sli1-1, 7,2_S-/Q 33 A * 0.0 0
ADDRESZIP Actual Set Backs in Feet
/d 7/ G . 7 '`'U' ? 7 io to North 'South East (West 3 9 7'3 z
CONT ACTO P NE Size of Parcel Zone Classification 0 5—2 0—8 2
ADDR SS �d�' Zip..4. Type Const. Occupancy Sprinklered z 6 4 7 9.
C ` / d/ �� I r' p ❑Yes ❑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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ElPLMB. I MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist, I Location (Area) '
8. DL� c.. ..x f g ` I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEW OwnershipUSE CODE
9. UTI LOITIF ES Public 0 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /� Plumbing
DATE OF APPLICATION ,` :4,";//e741.- SIGNATURE OF APPLICANT '' 0'4.- C-1244.0444‘444-4) Mech. /Y672-
SPECIAL APPROVALS SPECIAL CONDITIONS: ,
NAME DATE Plan Check
Env. Health
SEPA
Planning
C)
U
— w
Fire Marshall Mobile Home 1
Li-
Co.
Co. Engineer Other (Specify)
Utilities A-10
TOTAL $ ,/.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
:�> #icia PERMIT IS NONTRANSFERABLE 0l`' O'!-8`2 3 9 7.4 z *14 0 0 a _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL