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.
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