1980, 12-03 Permit: 80B-4405 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
JOB ADDRESS
' ' �5 aq LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK ib0BDI I ON _` pn RrFl NII1"ARFR/C
2.
OWNER
3.
ADDRESS
CONTR
4. A�
DESIGNER
5. ADDRESS
N
CHANGE OF USE FROM ITO
6.
DHONF
iEa��4WF
"D Actual Set Backs in Feet
_ _ North South East West
PHONE Size of Parcel Zone Classification
2�-
Z Type Const. Occupancy Sprinklered
a `j� ❑Yes ❑No ❑ Req'd.
PHONE Valuation Building Area in Sq. Ft.
ZIP Main Floor I Upper Floors Garage Area Storage
Area of Decks Finished Basement I Unfin. Basement
TYPE❑ NEW ❑ ALT.
AD'N. ❑ RPL.
�
❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7
❑OTHER
1:1 BLD. ❑ PLMB.MECH.
❑ M.H.
❑POOL
CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE
8. /
Enum. Dist, Location (Area) FEES COLLECTED
VALUATION
SOURCE
GA
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. 1 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 INSPECT NS i
Plumbing
nATF ()I= APPI IrATInAI I �" Cl(-r\IATI IRFnG ADDI IrAnIT //r�1 /l1La% Mech
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
es
ans Examiner
T9CfSlTcian PERMIT IS NONTRANSFERABLE
✓ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $ c ,00
PERMIT NUMBER
04* *9.00
*9,00
to -
9,
H *0,00 00
440.4
12-03-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
121
DATE ISSUED PERMIT NO.
0
A
* 9,0ro a
TbTAL
w �R