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1980, 09-10 Permit: M80-9967 Heat PumpPLAN NUMBER (Y 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