1982, 08-11 Permit: 82A-7018 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY —.BUILDING CODES DEPARTMENT 7ai
S - '0 1
. �/j NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
/v_ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
/ f LEGAL DESCRIPTION - SEE ATTACHED
' LOT BLOCK SUBD I I PARCEL NUMBER/S
2. I .
OWNER
3. 1 —off' ,� 52a,-23sz>
ADDRESS ZIP Actual Set Backs in Feet
rt. .?,p26 North 'SouthEast 'West 0 4 * * 1 4. 0 0
CONTRACTOR P ONE Size of Parcel Zone Classification
L<- "tiv ` .x----, ..26 -SZ•oa * 1 4.0 0
4. ADDRESS ZIPType Const. Occupancy Sprinklered A * Q,Q Q 8
9 ❑Yes ❑No ❑ Req'd.
DESIGNER �� PHONE Valuation. Building Area in Sq. Ft. 7 0 1,7 s
5' 0 8- 1 1 -8 2
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
s 6.479,
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER -
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE W RK
w.. 1 Enum.Dist. I Location (Area) T
8 � rt FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER },SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private D 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing -
DATE OF APPLICATION T( - SIGNATURE OF APPLICANT,-'��s..4 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health , _
6 t -7 0 SEPA >-
Planning /../'✓ p il
ti1
Fire Marshall' (1-4-‘-''-- (....1.-C.--.0--- 0. Mobile Home ,J
_//-,2_,,
Co. Engineer Other(Specify)
Utilities $
TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOIIQES A PERMIT.
ding T hn cian PERMIT IS NONTRANSFERABLE re o * o J —
0�8-� 1;=82 7018 1400a. I
' 1, ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSU PERMIT NO. TOTAL
- , 1