1980, 10-22 Permit: 80B-2444 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
ti e) SPOKANE COUNTY - BUILDING CODES DEPARTMENT 8� � �
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRE U (* * * 9,0 0
300 /,11— LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVI ION PARCEL NUMBER/S
2. * 900Y
3. OWNELA.C .k_. 1t_t/...au� 7c44—/72/ A * 0 ;I' 0
ADDRESSActual Set Backs in Feet 2 4 4 3
'yZCJ�1 am / , 4 North 'South East (West
CONTRAC OR PHONE ��� Size of Parcel Zone Classification 1 0.—2 2-8 0
4' ADDRE S (^�[/ I ZIP Type Const. Occupancy Sprinklered 6.4 7 9.
"' A % ,hGH 99c0'7 Yes No ❑ 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
❑ NEW ❑ ALT. AD'N. 0 RPL. 0 MVE.
7. OF ❑ BLD. ❑ PLMB. MECH. ❑ M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
j� of EXEMPTION
8 DESCRIBE WORK tkOt ^ )� � Enum. Dist. I Location (Area) FEES COLLECTED
\�fi�r fin"/J,j Xi 1
VALUATION SOURCE GAS ( ELECTRIC WATER SEWER
('�� Ownership USE CODE
OF9. UTILITIES `� 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 INSPEC .:.NS Plumbing
_
�
DATE OF APPLICATION /1D—6 -Po SIGNATURE OF APPLICANT ' Mech. c3,cno
SPECIAL APPROVALS SPECIAL CONDITIONS: 10,C)C)
NAME DATE Plan Check
Env. Health
- SEPA n_
Planning r 3
Fire Marshall Mobile Home -I
Co. Engineer Other(Specify)
Utilities J•0.
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
• •
Building T •'•ciant PERMIT IS NONTRANSFERABLE `j 0_{-� 2'-�8 Q' 2 4J,. 4 a * 9'0 0 a F7-- -
�� 4Er PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL