1981, 11-20 Permit: 81B-2029 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
`'0, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
I APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1 1 0 4 * * 1 4, 0 0
1. / 7 7e' eF- G LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 U. 0 0 u~i
2. * 1 4006
3. owls ._i 9.,7/ O,�r>3 A * 000 P,
ADDRESS ZIP Actual Set Backs in Feet
/77 � .� X028
9 9...?/6 North (South East (West
CON ACTOR `� // PHONE / Size of Parcel Zone Classification 1 1 —2 0—8 1
4. _ems. xi 7` Cr..t _-A/ D. :3,:.?.?--/-5—.2,
ADDREE //) Y ZIP Type Const. Occupancy Sprinklered6 Ll ?9. •
-21./D/ ,(.Ccc.c.,, ,.1—s</ / �f " C., f r/9v7 e7 6 Oyes ❑No 0 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW W ALT. 0 AD'N. ' RPL. 0 MVE.
7. OF 0 OTHER -
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRIBE„WORK Enum. Dist. Location (Area)
8 i/ �J ��4 iz
�/� J,�� FEES COLLECTED
VALUATION SOURCE GAS LECTRIC WATER EWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
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
�
i
DATE OF APPLICATION /1— /eP' d 7 SIGNATURE OF APP sii- - </� _. 41 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n..
Planning OU
Mobile Home w
Fire Marshall --!
ii.
Co. Engineer Other (Specify) -
Utilities
TOTAL $ /4/, 'G��
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
iti 41111PERMIT IS NONTRANSFERABLE l'9. -i2 &-'8-f.- 2 0 2,9 Z *1 4. 0 0 2. 1-2.
�_-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL