1980, 07-18 Permit: 80-7337 Heat Pump PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
/11
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 80-"733
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 JOB ADDRESS E.
)3.:3i �' 1LEGAL DESCRIPTION - SEE ATTACHED 0 4 * *9,0 0
LOT BLOCK SUBDIVISION PAF:CEL NUMBER/S
2. * 9.006
3. OWNER i� 1+ Q4,-3 1:(.7N
/ �a E * O O 0
ADDRESS 'r�ti1�� I ' ,,. 1 6,, Actual Set Backs in Feet I 7 3 2.4
North 'South
South East West
CONT RAC R _ PHONE Size of Parcel Zone Classification 0 7- 1 8`8 0
'56
4. ADDER f—,
6479.
��}}f. ` - 7}.py� �} r Type Const. Occupancy Sprinklered
t• c-Qc4 ��1`v i,.0-.) (. 4; 7 ❑Yes ❑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 ❑ NEW 0 ALT. AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR9, Enum. Dist. Location (Area)
$ `'\. ,.
), `rte n 0 `c/id�j y"(�}'(/^{{^r-_P FEES COLLECTED
VALUATION SOURCE GAS ECT IC WATER SEWER 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 INSPEC 0 S r`"-' Plumbing
- s
DATE OF APPLICATION /-/jf` CJ SIGNATURE OF APPLICANT o _a/14°� "4" Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: / `�
NAME DATE FOR GAS ' ''LICATIONS Plan Check (y
Env. Health
PIPE LENGTHS SEPA >-
a_
Planning O
Fire Marshall PIPE SIZES Mobile Home
Co. Engineer RIR BTUS Other (Specify)
- --- —
Utilities s
TOTAL 'CC>
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
C J
Building Technician/� f PERMIT IS NONTRANSFERABLE 0 '7-1 £0.—, 8 0 7 3 3, 7 �. * 9'0 0 0. J
9��"`r� /�` /���0 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL