1980, 08-13 Permit: M80-8498 Heat PumpAPPLICATION/ 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
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. l,,l t N i
ADDRESS
ZIP
Actual Set Backs in Feet
North South East West
CONTRALT R
PHONE
Size of Parcel Zone Classification
-t i
4'
ADDRESS-
7r►R
Type Const.
Occupancy
Sprinklered
+,�,
- ! . L �-v..x-L�-
/�
i. 1....�''..
Dyes ❑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 i
No. Rooms
No. of Dwellings
❑ NEW ❑ ALT. 'ItVAD'N. ❑ RPL. ❑ MVE.
% OF ❑OTHER
❑ BLD. ❑ PLMB. gMECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK j y "
rn �-�-
Enum. Dist. Location (Area)
FEES COLLECTED
8 v
VALUATION
SOUR&�
GAS
ELEC 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 INSPECTIONS
Plumbing
S� ,
n�' 1 �_�
DATE OF APPLICATION S' SIGNATURE OF APPLICANT 'I ^, "���'
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
anning
re Marshall
). Engineer
Utilities
Plans Examiner
c
iiamg nmuan
��- 15//,3
SPECIAL CONDITIONS:
FOR GAS APPLICATIONS
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
o C0 — 5 /
04* *9.00
*9.00
*9.00y
E *0.00
849,72
08-13-80
z 6479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,0"81- � `3-"- 8 0 ,.
DATE ISSUED PERMIT Nn
TnTA I