1982, 06-29 Permit: M82A-5498 Heat PumpPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
(� NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
JOB ADDRES ,
LEGAL DESCR'PTION - SEE ATTACHED LOT BLO K SUBD I ON PARCEL NUMBE"/S_
2.
OWNK(f JP�10NE3.
4 V
ADDRESS„ZIP
Actual Set Backs in Feet
e
�{�,
+`
O/
North South
East West
CONT ACTOR
PHONE
Size of Parcel
Zone Classification
i
�j
4•
AD SS
Type Const.
Occupancy
Sprinklered
2
I
❑Yes ❑No ❑ Req'd.
DE NEIT
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.
No. Baths
No. Stories
No. Rooms
No; of Dwellings
TYPE NEW ❑ ALT. ❑ D'N. ❑ RPL. ❑ MVE.
7• OF ❑ OTHER
El BLD. ElPLMB. ���iii MECH. ❑ m. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE'W RK_
Enum. Dist. Location (Area)
8.
FEES COLLECTED
^ Y7
VALUATI N
SOURCE
AS
ELEC RIC
WATER
SEWER
Ownership
CODE
9,
OF
UTILITIES
TUSE
Public ❑ 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 gran g of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local I w regulating construction or the
performance of construct n. EE REVERSE SIDE FOR REQUIRED INSPECT NS
Plumbing
-01
�-
DATE OF APPLICATION SIGNATURE OF APPLIC
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS
o� y, ��� ✓.T-�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
/ PERMIT NUMBER
04* *1400
* 1 4.001
A *0.00 00
549,7
06-29-82
6.479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'l6,"2••9- -8'2 5 4 9.8 z
DATE ISSUED PERMIT NO.
*14000-
TOTAL