1980, 05-27 Permit: M80-5003 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
LOT
2.
- I !
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
SUBDIVISFO
PARCEL NUMBER/S
3.
OWNER
ADDRE
h42 \3atEe1-c IozkCi_
PHONE
ZI P
Actual Set Backs in Feet
North 'South [East (West
4.
CONTiRt
CTO3��
1. LL;
ADDRE
- .))"Q 4 (LI V
DESIGNER
5. ADDRESS
PHONE
3'24,- 500C
ZIP
cOo
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE rfd NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE.
7.WORK BLD. ❑ PLMB. /MECH. ❑ M.H. ❑ POOL OF ❑ OTHER
No. Baths
No. Stories
No. Rooms
No. pf Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DE RIBE WORK
8. / Lu-rt_iD
VALUATION SOURCE AS ELE R)C WATER SEWER
OF rrYY//
9. UTILITIES
Enum. Dist. I Location (Area)
� I
Ownership
Public ❑ Private ❑
USE CODE
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
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 I
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
nrirreii.Q.Cechn
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS: 0
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
)Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 10
rtMIT NUMBER
04* *9.00
*9.00 17)
*9.006
E
*0,00 0
5002E
05-27-80
B 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05,,27-80 500.35
PERMIT FXPIPPC ONF VFAR FROM DATF OF ISSUANCE DATE ISI IFIL
*9,00° -
PFRMIT NO TCTAI