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1980, 11-04 Permit: 80B-3199 Heat Pump, Furnace
PLAN NUMBER APPLICATION/PERMIT M PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT p ea �� CINORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS_ LEGAL DESCRIPTION — SEE ATTACHED * 1 9,0 0 LOT BLOCK 04 * * 1 9.00 1. / � r 7} jN SUBDIVISION PARCEL NUMBER/S * 1 9,O 0 2. OWNER PHONE A * 0 0 0 8 3. r6 Car (,i,:1.—ata L..) }}+. CYa Y--,:3 A CIC- ADDRESS ICADDRESS /,1{,�,,�, Actual Set Backs in Feet 3 1 9.82 `.2-10 �-Q /-'Y / (,?0 North 'South East CO CONTRArig / PHONE Size of Parcel Zone Classification'west 1 1 0 4—8 0 s C/.C.X,).4.1li, ii�ilt) 4C� _ 3 �---� �v 2 6 4 7 9. 4. ADDR r J r[/ ` eft}�, �/� / ZIP 9-9 Type Const. Occupancy Sprinklered E. ['l C'/ "�C/'�-k:+c-�V.J�ik1GV (- ©7 Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors r Garage Area Storage — CHANGE OF USE FROM TO Area of Decks Finished(Basement Unfin. Basement 6. No.Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. 4.1 AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER - WORK ❑ BLD. 0 PLMB. a_MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE WOR �f Enum. Dist. Location (Area) 8. �. ? / (Z) t t . .O /L L lthl __' I I FEES COLLECTED VALUATION SOURCE GAS LE/CTR)C WATER SEWER Ownership USE CODE OF 9. UTILITIES A- 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 pREQVERSE SIDE FOR REQUIRED INSPEC S !, Plumbing DATE OF APPLICATION /(J V SIGNATURE OF APPLICANT \ "-f -� '1 YI �—)I Mech. `1 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check (iioct� Env. Health SEPA }a}.›— . Planning OU Fire Marshall Mobile Home ---I U- Co. Engineer Other (Specify) 0 Utilities ' 'Q�(9�,,; TOTAL $I�(�_ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES ApPERMIT. Building Tec niciPERMIT IS NONTRANSFERABLE 114.'04'-o;'O,0 3'1 9�; 't 1t.1 9.0.0 q pi. ,� J � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL