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1981, 02-27 Permit: M81A-1858 Heat PumpPLAN d/JMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (609) 4563675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. JOB ADDRESS re/D a /7 BLOCK 2. LOT OWNER _ 3. gar. y -Co ZN ADDRESS 4 SOL,AQtyG CONTe✓,/ pa,e �/L 4. ADD/ /EE/ 4/�i-Z DESIGNER SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL. NUMBER/S 5. PHONE ZIP Actual Set Backs in Feet North (South {East IWost PHONE .7z�—i Site of Parcel Zone Classification ZIP Type Const. Occupancy Sprinklored ❑yes ONo ❑ Req'd. PHONE Valuation (Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of DeCks Finished Basement Unfin. Basement ❑ NEW ❑ BLD. ❑ ALT. M'AD N. 0 RPL. ❑ PLMB. _MECH. 0 M.M. ❑ MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. oI Dwellings CERTIFICATE of EXEMPTION Rea. Re 'd. Not Roq'd. 8. 9. DESCRIBE WO K VALUA fici:�/[/, /pea / ,,&ala Enum. Dist. Location (Area) SOURCe OF UTILITIES GAS EL TRIG ATER SEWER Ownership Public O Private 0 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 DATE OF APPLICATIONS 2.J —7'i SPECIAL APPROVALS NAME DATE Env. Health arming Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SIGNATURE OF APPLICANT SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL /¢ PERMIT NUMBER U `n WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 02-27-81 185.85 *1400a1- PERMIT EXPIRES ONE YEAR FROM GATE OF ISSUANCE DATE ISSUED PER IIT NO. >-- 0 0 0 lJ -J