1980, 08-13 Permit: 80-8496 Heat Pump IPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER /may
1 I / / i)..j ..'. 1S
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 °
A0APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
04 * * 9.00
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED V) )
1. /316 f . : z3 , * 9,00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9.0 0 v
2. E * 0.00 3
OWNER PHONE
a6--
/Y?C'�1hi-L tACO. . gt_f- -71163 ADDRESSZIP Actual Set Backs in Feet 8 4 9,5 2
fri
.!�1'L,Xnn_, North !South East (West 0 13—
0
CONTRACT PHONE Size of Parcel Zone Classification
_ }4C .
4.
ADDRF �" t� �� ;�Q'^J�� �1P� C� Type Const. Occupancy DYes ❑No Sprinklered❑ Req'd.
DESIGNER I� PHONE Valuation • 1Building 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
❑ NEW ❑ ALT. r'1 AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. 0 PLMB. L-MECH. 0 M.H. ❑ POOL CERTIFICATE
++ -- of EXEMPTION
DESCRIBE WORK tr I Enum.Dist. I Location (Area)
8 n 1/ Erna-„/ 4' / FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES ._„ ,i_ Public 0 Private 0
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 INSPEC,Le NS Plumbing
DATE OF APPLICATION /
' -�
SIGNATURE OF APPLICANT -A P,:fav L* "i-'�j - Mech.
.lF
SPECIAL APPROVALS SPECIAL CONDITIONS: r,, n:.3 *'s,'
NAME DATE FOR GAS ' •'LICATIONS Plan Check 4,' t
Env. Health
SEPA
Planning PIPE SIZES
Fire Marshall PIPE LENGTHS Mobile Home _I
ri
Co. Engineer BTUS Other(Specify)
Utilities ( , 1)i�
TOTAL $k
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist - THIS BECOMES A PERMIT.
n ti.c
Te llip ian.. / PERMIT IS NONTRANSFERABLE 0 3 r. � '-L' 4 9. o *' S. r Q IJ-
i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL