1980, 11-05 Permit: 80B-3273 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY —..BUILDING CODES DEPARTMENT /1 8O — 3-z.-7 3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS0 LEGAL DESCRIPTION — SEE ATTACHED * * 9.0 0
1. E . 10721 - 20th * 9.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S to-
2.
* 9006
OWNER PHONE
3.
Michael Doohab 926-8540 A * 000
ADDRESS ZIP Actual Set Backs in Feet
E
E . 10721- 20th, Spokane 99206 North (South East (West 3 2 7. 2 2
CONTRACTOR PHONE Size of Parcel Zone Classification 01 =- 1 5-8 0
:: u 0.4 . - •28-2100
4' ADDRESS ZIP Type Const. Occupancy Sprinklered z 6.4 7 9.
E . 12710 Indiana 99216 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
Same
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
Same
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW ❑ ALT. 12 AD'N. ❑ RPL. 0 MVE.
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. ❑ PLMB. l3 MECH. ❑ M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) ' FEES COLLECTED
8, Add on Heat Pump I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private 0
9. UTILITIES XX z 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 APPLICATIONII/3/G� 0 SIGNATURE OF APPLICAF 1 / .--GrJ1— Mech. 9 .00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ADD Plan Check
•
Env. Health ADD d A) ���" 6
�
��//1i SEPA
Planning ."') 'T — C)
c..)
Mobile Home
Fire Marshall '-i
Co. Engineer Other (Specify)
Utilities TOTAL $ 9 .00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLEt Lt.*571 ty 3 2 7.3'a• *q 0 0 a IJ-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL