1980, 02-28 Permit: 80-1648 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT IVUMBER
M -- ►try
DATE
04* *9.00
*9.00U
E
1 64,7
02-28-80
A 6479,
VALUATION Source GAS ELECTRX WATER SEWER
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
9, utilities Single $
JOB ADDRESS
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LEGAL DESCRIPTION -SEE ATTACHED
1.
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
`
performance of construction. Plumbing
1a) SIGNATURE `
LO
BLOCK
SUBDIVISION
SPECIAL APPROVALS SPECIAL CONDITIONS:
PARCEL NUMBER/S
2.
Env. Health
SEPA
Planning
Mobile Home
OWNER)
Fire Marshall
Co. Engineer Other(Specify)
PHONE
Utilities
3
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
ADORE
DATE=( OFFICIAL
ZIP
Required Set Backs in Feet
North South
East West
CQWRPCT0R
PHONE
Size of Parcel
Zone Classification
Q�
4.
A RESSZ
Type Const.
Sprinklered
0zh
��C)1
TOccupancy
❑Yes ❑No ❑ Req'd.
D SIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Ar;aT
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths No. Floors i No. Rooms Rec. Room,
TYPE NEW
❑ ALT.
D'N. ❑ RPL.
❑ MVE.
7,
OF
if
❑ OTHER
D.
❑ PLMB.
E)MECH: ElM.H.
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DES IBE WO K
FEES COLLECTED
8
PERMIT IVUMBER
M -- ►try
DATE
04* *9.00
*9.00U
E
1 64,7
02-28-80
A 6479,
VALUATION Source GAS ELECTRX WATER SEWER
of
9, utilities 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. Plumbing
1a) SIGNATURE `
DATE -PIZ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
DATE=( OFFICIAL
APPROVED FOR ISSUANCE
-
1.
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