1980, 03-20 Permit: 80-2496 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS ��� T/� � /2 /�J,/7
LOT BLOCK SUBDIVISION Vv
OWNER
3.
ADDRE `46
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL N.►.MBRR/S
ZI P
4.
5.
6.
azzita
RESS f -eit
DESIGNER
ADDRESS
P�H'l�OjINE-5/O-)
Required Set Backs in Feet
North South 'East (West
Size of Parcel
Zone Classification
?,92)/
)
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
CHANGE OF USE FROM
ZI P
DWL Area I Basement Area
TO
Split Entry
Garage Area I Storage
Split Level
Rancher
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL.
7. OF
8.
9.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H.
D C I WORK ,6101/�
n,
VALUATION
Source
of
Utilities
GAS
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
ELECTRIC
L�
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
performanceg� construction.
DATE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
eC g4-7-6
DATE
04* *900
*9,00 n
*9.006
E *0,00
249,5c
03-20-80
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS 8ECOMES A PERMIT.
05.-20-80-
o
*9,J0