1981, 09-30 Permit: 81A-0089 Heat PumpPLA 3E 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 ^ al, LEGAL DESCRIPTION -SEE ATTACHED
LOTBLOCK SUBDIVISION PARCEL NUMBER/S
2. - YkiONE
o .{ p
A t SS , �L
ZI /
Actual Set Backs in Feet
North South
East West
CONTRACTOR
PH NE S/j° Q1�`
Size of Parcel
Zone Classification
ii-T7L)
41 DIR r��J
'�
Z
l✓'__ �
Type Const.
Occupancy
Sprinklered
/�
1 0
�
❑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.
I
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE -NEW El ALT. 1-1 AD -N. ❑ RPL. El MVE.
7, OF ID OTHER
❑ BLD. ❑ PLMB. ❑ M.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK eMECH.
of EXEMPTION
DESCRIB WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
Public Private El
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 loco law regulating �cn struction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC IONS /
Plumbing
_41co
/
Mech.
DATE OF APPLICATION SIGNATURE OF APPL
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
nician
SPECIAL CONDITIONS:
I
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
I a -o��j
03* * 1 4.00
*14.00
* 1 4.006
A *0.00 00
8.82
09-30-81
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09,-510' 81
DATE ISSUED PERMIT NO.
* A000-
TOTAL
a
O
_ U
W