1981, 10-02 Permit: 81B-0180 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS r f
1. �'
LEG4L DESCRIPTION - SEE ATTACHED
2.
3.
LOT
BLOC
SUBDIVISION
OWNER i (//„.
C 1
ADDRES
CONTRTOR i / (74
_
4.
61/
PHONE "„--W. 277
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South )East (West
Size of Parcel Zone Classification
ADl1RE 7
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1 Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
❑ BLD.
❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
0 PLMB. = MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
DESCRIBE WO ,/ f
VALUATi
GAS
9.
I hereby
SOU RCE
OF
UTILITIES
Enum. Dist.
ILocation (Area)
EL�C
WATE
SEWER
Ownership
Public ❑ Private 0
USE CODE
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 provisio . o aws and ordinances governing this
type of work will be complied with whether specified herein or not. Th: gra Ing of a p mit does not presume
to give authority to violate or cancel the provisions of any other state or loclaw regul.tirhg construction or the,
performance of construction SEE REVERSE SIDE FOR REQUIRED INS ' IONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
hn
•
SIGNATURE OF A
SPECIAL CONDITIONS:
,„ 77-<
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing /1
Mech. ! V
Plan Check
SEPA
Mobile Home
Other (Specify)
//6( -.)TOTAL $
PERMIT NUMBER
v5 --d Dov
04* * 1 4.00
* 1 4,00
* 1 4.008
A *0.00
17.92
10-02-81
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0!x'02' 81. 18,02 *14002.1 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL