1981, 08-12 Permit: 81A-8023 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMB R
4 3SPOKANE COUNTY — BUILDING CODES DEPARTMENT t� – o-
r--( NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JO ADDRESS \moa j�('I) LEGAL DESCRIPTION - SEE ATTACHED
cam
1. ) . vC �1 S – ,2 c cs[-. s- `.
. .`I o 3��
L BLOC S SUBDIVISION PARCEL NUMBER/S O Q * * 1 9.O O
2.
* 19.00
OVklER PHONE
Y
ADDRESS ZIP Actual Set Backs in Feet A * 0.0 0 0
U
C . \L-5c, DcZ(\ I�y' vi C „rL1--)6ALE_., , LL . (IVA'0' `-1 North (South EastZone Classification(West 8 0 2 2
CONTRACTOR PHONE Size of Parcel
4. �, \ €Pcc IN C� X11. ccrc��vv%ct<1; AV-k •( � 1 0 8- 1 2-8 1
ADDRESS ( tC Z f] Type Const. Occupancy Sprinklered
,`‘C- X11_..Z Si�`CKF c' C +,�(IA - \3 a ❑Yes ❑No ❑ Req'd. 2 X 4 7 9.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
EW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. 1VIECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
vFEES COLLECTED
8 �-rr1 ` a V.). -iec ( . QAC (NT ;:-n p s� b .:c:r I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE v
OF
9. UTILITIES I -.*71-- Public El Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
c", —'��
DATE OF APPLICATION � )�VC.-) a� � SIGNATURE OF APPLICANI"� y-C , �i
` Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>--
SEPA
SEPA Planning C)
c.)
— U
Fire Marshall Mobile Home -1
1i
Co. Engineer Other(Specify)
Utilities
TOTAL $ VA _CO
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil.ing 'ec .ian PERMIT IS NONTRANSFERABLE '0'8 _ ., '8`1' 8 0'2 3 Z *1 9.0 0 a p
' "� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL