1982, 01-26 Permit: 82A-634 Heat Pump PLAN r4UMBER APPLICATION/PERMIT PERMIT iq MBEr. .
SPOKANE COUNTY - BUILDING CODES DEPARTMENT '
/IP / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
,_ ,�
•
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS rq- * * 1
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISt—r0
I PARCEL NUMBER/S
* 14, 006
2. ��f} f ,/SIJ
OWNER)O6"\ RI,cKC! 1 PHONE ,t �, c''
3.
ADDRESS ZIP Actual Set Backs in Feet /' 7f; .` Z.
I • rC)C I3 ' J,- I; North 'South East (West ( I — b— 2
CONTRACT ,,,, PHONE Size of Parcel4.
Zone Classification
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑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 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. CrMECH. 0 M.H. ❑ POOL
of EXEMPTION
DESC(21T RK Enum. Dist. I Location (Area) FEES COLLECTED
8.
VALUATION SOURCE r GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
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 cons • on or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
�, / 14
DATE OF APPLICATION �— � Z � <Pr--�— IGNATURE OF APPLIC,'-� w / —.I� Mech. J=-L—
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
n_
Planning v
Mobile Home "u
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $At______
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Build •g Tec ician ,. PERMIT IS NONTRANSFERABLE 01!-.2
6 r 8 2'� 6 .3,4 z * 1 4 0 0 a F.' -
-...... -` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL