1982, 08-26 Permit: 82A-7523 Heat Pump MINIM .
PLAN NUMBER APPLICATION/PERMIT PERMIT
NUMBER
MBER���
SPOKANE COUNTY --BUILDING CODES DEPARTMENT PA
22
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
�✓ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS04* * 1 4,00
1. ( . 7). /..5- `' LEGAL DESCRIPTION — SEE ATTACHED * 1 4.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
A * 0,00
2.
Ow�ELLco PHONE 75222
3. L/
!�ADD ESS ZI,P Actual Set Backs in Feet 0 8—2 6'-8 2
/ (, 4, 6 as -- 71l�'� 2 North 'South East IWest 2 6 4 7 9,
VAXR �4i/Ql`1F�� � Size of Parcel Zone Classification
4. •s ,�,�s �%V/�1—Q9L Type Const. Occupancy Sprinklered
SZ. P ZP / to
�,,,,..R.1 t Eyes ❑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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK IllBLD. CIPLMB. MECH. I=1M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESSCRkBE WORK -4')
Enum. Dist. I Location (Area)
8 ,), '
`tA — I FEES COLLECTED
VALUATION SOURCE GAS VWATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private CI
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 constructio .SEEfREVERSE SIDE FOR REQUIRED INSPECTIONS ) Plumbing {f
DATE OF APPLICATION ?, t' ' ` (:-\-J-,'"'"' SIGNATURE OF APPLICANT CJ��' 34. Mech. �/
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME (DATE Plan Check
Env. Health
SEPA >—
a.
Planning OC.)
Mobile Home W
Fire Marshall J
CZ
Co. Engineer Other(Specify)
Utilities '`
TOTAL $/l
Plans Examiner ,
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
c ii.:'.• ec ,ici:n PERMIT IS NONTRANSFERABLE o'18 "6 '242' 7 52 3 z *1110 0 a
( a '" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1