1980, 01-11 Permit: 80-82 Heat Pump PLAN NUMBER .. , APPLICATION/PERMIT
�� PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT Wt NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE '" 1—(RO
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
4 • 9: 0 0
JOB ADDR Ss 41.4L LEGAL DESCRIPTION - SEE ATTACHED
:;
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9. 0 0
2.
OWNER i PHONEE '" Q, V V
3. ILK)t: ti ga G?s
ADDRE��S ✓ ZIP Required Set Backs in Feet8, a
S/G 0 �y � North 'South East (West 0 1 _+1 1 —3 0
CONTRAC •R _40PHONE Size of Parcel Zone Classification L
4 ( K ft) / �(- /50.5 U .9r�
,
4' ADD SS � 1 ZIIPP f^7 J Type Const. Occupancy Sprinklered
CQ/04 )ttcet"ia--) c/92,K7 Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS*, ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE 0 NEW 0 ALT. V AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHERReq'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. d MECH: 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK„lakb 4(04 )19t(-')" FEES COLLECTED
8.
VALUATION/ Source te l�
of
- ' 'IC WATER SEWER
9. L Utilities 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 staffs-.pr local law r ting constru tion or the
performance of construction. 1 Plumbing G C
DATE ! " AO SIGNATURE Mech. 3.I)
SPECIAL APPROVALS SPECIA CO DITIONS:
DEPT. REQ'D. REC'D. • - 4, Plan Check
Env.Health cc
SEPA I-
Planning — w
0_
Mobile Home '-n
Fire Marshall —
Co. Engineer Other(Specify)
Utilities 9oo
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PER % -, (I c';
DATE I-1 [—SO OFFICIAL - C)VYl/1�51'N. I -
11 _
APPROVED FOR ISSUANCE _