1980, 04-23 Permit: 80-3835 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT iB13� I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 9,0 0
JOB ADDRESS /, LEGAL DESCRIPTION — SEE ATTACHED * : 0 co
1. /U;/3 ' ' "y --
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9.0 0 v
2.
OWNER PHONE E * 0:0 0 U
3. '.y1rrc,e. 6",e ,,,. ..,.. 9 6- 3Y33 _ 383.48
ADDRESS ZIP Required Set Backs in Feet
/0 7/3 Ac 0,69-t-*-• 5��Iyci/6,-e, LL<,?' ? C'( ' North 'SouthEast (West
. Occupancy Sprin0 4-2 3-8 0
CONTRACTOR / PHONE Size of Parcel Zone Classification
4. /911111(44- 7/7 4'4'I�'r., y ef/Fc 7,--,-- 9'&-,A/c'e g 6479.
ADDRESS ZIP Type Constklered
(vZ-7/C,f %..-(.71:a_:r..z i S.AO.�c..�-r, 4,-,;. ��/az�
❑Yes ❑No CIReq'd.
DESIGNER J PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. _
No. Baths No. Floors No. Rooms Rec. Room
TYPE El NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
Req'd. Recd. Not Req'd.
WORK El Rita 1=1 PLMB. ❑ MECH: 1:1 M.H. CI POOL CERTIFICATEof EXEMPTION
DESCRIBE WORK
8. A 040 h! a 1" Pu ,/, re _5-4.,S '^-9FEES COLLECTED
VALUATION gburce GAS ELECTRIC WATER SEWER
of
9. Utilities
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 construction. ! Plumbing
DATE I/-?-/ `�Gi SIGNATURE --.61,7, ---'-'2',."? _..r ---:----Ar' 17"—'rte4--_ Mech. ?',,c''
SPECIAL APPROVALS SPECIAL CONDITIONS: !//
DEPT. REQ'D. RECD. /fete7i P,,r,.1,,.ri Plan Check
,
3 Te.,. /,Li pc/iz,, `r
Env. Health of
SEPA :'
Planning U
— -,..t
2
Mobile Home "'
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $ a c''
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. 9. O ,
ni = tr r x`5,5 "
DATE FFICIAL C: itlV�.L�r'1 0 d.._— ? 5 - if
APPROVED FOR ISSUANCE - 1