1983, 08-30 Permit: 83A-8365 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY c:):7 ,a'CX-'�
/^ NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/ (509)456-3675
(`-/1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
a
ST-DRESS PARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DEScRIPTION:
2.
OWER PHONE / PHONE
3. Lei, e,7' ?/I�'
MA ING ADDRES ZIP Actual Set Backs in Feet to:
/ ) —
r 9 WOW) North I South LEast l West
CON RACTOR LICENSE EXPIRES PHONE . Size of Parcel Zone Classification Residential❑
_ j/7/ Commercial D
4 .A-D/Ij/E7SS� �/�r� / G' 7�p �/ / Type Const. Occupancy Sprinklered
T !.� /S c" /!7 `� 9,,z. , ❑Yes 0N ❑Req a. 0 4 it * 14,00
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area * 1 &0 0
5 ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse A * G 0 0 ci
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 8 3 6 4 2
6. 08-30-83
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE r JEW `1ALT. CI AD'N. ❑ RPL. ❑ MVE. 2 6.479,
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL oCrVariancexempt. Required Yes❑ No❑ Number
Received Yes No❑
DESCRIBE WORK �[��� ��' / Shorelines/Flood Hazard Plans Required❑
8. A 4� >l _ _ z 76 Yes Not Applic.D Received D
VALUATION SOURCE L`G—et
ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
OF �l PUBLIC D SEPTIC E Public❑Private❑
9• OF
PRIVATE 0 SEWER❑
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVERSE SIDE FOR REOU RED INSPECTIONS Plumbing
SIGNATURE OF > / APPLICATION C ' /`�p 3 j,c /-
OWNER OR AGENT' � ' j `� DATE �� f Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:'(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health SEPA
Planning / / / Modular/
MFG.Home
Ci-
Prevent.
Fire O
Prevent. C.,
Other(Specify) W
Engineer J
��,,�� t�
Utilities ! I;
TOTAL $
SEPA ..
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. _ _ PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED •
pU R j /�
Tech mg / 75
IN 180 DAYS DATE ISSUED 0 — PERMITNO.6.5 z * 1 't O O ?�I�AL
t (�