1980, 10-22 Permit: 80B-2421 Heat PumpNUMBER 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
JOB ADD SS
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUB I I ION PARCEL NUMBER/S
2.
OWNER PHONE
ADDRESS l �ZIPActual
(� Actual Set Backs in Feet
1 "/ !� I F North South East West
CONT R TOR PHONE Size of Parcel Zone Classification
,L1
4' ADDREZIlP�� Type Const. Occupancy Sprinklered
[ U` ❑Yes ❑No ❑ Req'd.
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
❑ NEW ❑ALT. 9'AD'N. ❑ RPL. ❑ MVE.
7 WORK ❑ BLD. 1:1PLMB. L`I�MECH. ❑ M. H. ❑ POOL El OTHER CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
$ FEES COLLECTED
VALUATION I SOURCE GAS ELE RIC WATER SEWER Ownership USE CODE
9. UTILOITIES �— Public ❑ Private ❑
Single $
1 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 INSPECTtIONS Plumbing
ji
Env.
Plann
Fire P
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
neer
Utilities
Plans Examiner
ec��
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $6?
PERMIT NUMBER
m
CG * *900
". 0 0 n
*9,00
A 000 COD
2420•
10-22-80
;o 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE I S ED PERI I j qq. CA 0 n JPTAL