1980, 09-10 Permit: M80-9967 Heat PumpPLAN NUMBER
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1
wry. _
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
LOT rcsCK97L8DJ
ISIONN�
AaLeR4Le 99206
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
Richand Downey
PHONE
ADDRESS
Eaus-t 9705 - 10th. Avenue
ZIP
99206
Required Set Backs in Feet
North 'South 'East (West
CONTRACTOR
4 Pawen2sP IncoApanated
ADDRESS
East 6507 Mct U.Gn Avenue
PHONE
535-7714
Size of Parcel 1 Zone Classification
ZIP
99206
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE ❑ NEW
7. OF
WORK ❑ BLD.
DESCRIBE WORK
8. TVI to
VALUATION
9.
TO
Split Entry
Split Level
Rancher
❑ ALT. AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. F.1 MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
I'
Source
of
Utilities
GA
A 1 1 I
ELECTRIC
WATER
SEWER
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
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
FOR GAS:
PIPE SIZES:
PIPE LENGTHS:
BTU'S:
DATE OFFICIAL
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
PCIDih'e(p8cify)
TOTAL
6.00
3.00
$ 9.00
PERMIT NUMBER
80—qs7 7
DATE Sept. 9, 1980
*900
*9,00 N
*9,006
A *000
993.2
09-10-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COMES A PERMIT.
�9'-l�"�80 99675 *9.00°x,
IKIODEPTIID