1981, 04-24 Permit: 81A-3877 Heat Pump PLAN NUMBER APPLICATION/PERMIT ,i� PERMIT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT "1 gM " 77NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 4- * * 1 4,0 0
1. 45: 91,D3 /Z 15 LEGAI-.pESCRIPTION — SEE ATTACHED
* 14.00 V)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 14, 00
OWNER > PHONE A * 0i. L 0 E
3. .%f/e✓'e1 /Z eaGl✓ �l.ZG=-z3cls
ADDRESS ZIP / Actual Set Backs in Feet 3 8 7,6
.r� �T (ZI`72.ePt/ North (South East (West 4`C 4_8
CONTRACTOR PHONE Size of Parcel Zone Classification
a. AZler, Tw,Gr g/<rem 7Z6 f OD 6a 79.
AD,/D/l3 ESS q �J ;/ s ' ZIP��/ Type Const. Occupancy Sprinklered
/i'� /7Z4 ,4 L /�,/ Eves ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW 1=1p�ALT. ❑ AD'N. (W,RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. fte.MECH. 0 M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK 8. Enum. Dist. ILocation (Area) FEES COLLECTED
SLS CL /12Gz I
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
OF 9. UTILITIES I Public ❑Private 0 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 state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 9---0? R..)-- r/ SIGNATURE OF APPLICANT d2i// .ra".' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
Planning d
O
V
Fire Marshall Mobile Home w
J
LJ.
Co. Engineer Other(Specify)
Utilities �j
TOTAL $ AT "
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•
PERMIT IS NONTRANSFERABLE
OIn l'78 �1 , 38' I
Building Technician q: : 7,7 Z' *'1 `A0.oaF
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISoU 1 l PERMIT NO. TOTAL
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