1980, 04-18 Permit: 80-3655 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 4 COPIES
JOB ADDRESS
1. HODS X77—,41 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
z.
OWN
jf R
3.
A SS f�QEj J
n
T ACTOR
4. vy 1e, rue 06
WR EtS
j t�
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
cl 7
PHON
--;?G4 /
ZIP
Required Set Backs in Feet
8. pt ✓ Ls P^t
99_C)
VALUATION
Source
GAS
North South
East West
PHONE
Size of Parcel
Zone Classification
Z P
Type Const.
Occupancy
Sprinklered
,. q,:20"9,
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
❑Yes [:]No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
performs a of construction. i Plumbing
DATE SIGNATURE'S
ZIP
DWL Area
Basement Area
Garage Area
Storage
TO Split Entry Split Level Rancher
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
7, OF,—�,V// ❑ OTHERYV�
WORK El1:1BLDt PLMB. LMECH: ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION
PERMIT NUMBER
DATE -
0 4
ATE04* *9.00
*9,00
*9.006
E *a00
365,42
04-18-80
2 6479.
DESCRIBE W
FEES COLLECTED
8. pt ✓ Ls P^t
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9,
of
Utilities
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 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 regulat'ng construction or the
performs a of construction. i Plumbing
DATE SIGNATURE'S
Mech.
11-71,
SPECIAL APPROVALS SPECIAL CONDITIONS
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
,/)
Utilities V"
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
DATEOF �l
APPROVED FOR ISSUANCE
a C,r?
6.
O`Z).
*9.0�0 a,.