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1980, 01-06 Permit: 80-911 Heat Pump
PLAN NUMBER APPLICATION/PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT ' ' �Q� ' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE -q-- Rep APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 1, r 0 11 * 'A' ', !, 0 1. 1 q©lo -L w q 't'' LEGAL DESCRIPTION — SEE ATTACHED * 9 I, 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 0 n `, 2. .�. 0 n :c OWNER P NE E Mc,..t . 1 . c�.. ...Q.1.0J Yci�-pO)9 3. 91,0r= ADDRESS ZIP Required Set Backs in Feet , /YINA— North 'South East West 0 1 —0 6—3 0 CONTRA TOR PHONE _ Size of Parcel Zone Classification S�?J!L a YYtL . c 6f 79. 4• y{? Type Const. Occupancy Sprinklered ADDRESS �� Z[ ,i[']`�D:7 ,yes ,No El Req'd. DESIGNER PHONE / Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage — CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER WORK ElBLD. ElPLMB. MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK � \ ,��// 8. ( ci/d .•,, ) FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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 or local law lating con uction or the performance of construction. e,9 Plumbing DATE -R0 SIGNATURE' Mech. SPECIAL APPROVALS SPECT ONDITIONS: 'n�©a DEPT. REQ'D. REC'D. Plan Check '+� Env.Health cc SEPA CD Planning _ CDi 0.. Mobile Home Cr) Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $ Ct)DO Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A�PERMIT. _, DATE96-40—(-150: OFFICIAL W^J CIPIV n.., APPROVED FOR ISSUANCE _