1980, 08-13 Permit: 80-8500 Heat PumpPLA" 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
1. i ) i IC, (J ��� LEGAL DESCRIPTION - SEE ATTACHED
LOT
Actual Set Backs in Feet
2.
1--TL--OCP
OWNER
Size of Parcel
3.
ADDRESS
�31a
CO NTRA ITOR
4.
ADDRESS
c
DESIGNER
5. ADDRESS
SUBDIVISION PARCEL NUMBER/S
CHANGE OF USE FROM ITO
s.
C-
PHONE
4'
ZIP
Actual Set Backs in Feet
�" AD'N.
North South East West
PHONE
Size of Parcel
Zone Classification
No. Stories
No. Rooms
No. of Dwellings
7, OF
ZI _
Type Const.F Occupancy Sprinklered
n �`'��
[ )C,-
❑Yes ❑No ❑ Req'd.
PHONE
Valuation Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
❑ POOL
Area of Decks
Finished Basement
Unfin. Basement
TYPENEW
❑
❑ALT.
�" AD'N.
❑ RPL.
❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF
❑ OTHER
WORK ❑ BLD.
❑ PLMB.
Q MECH.
❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
DESCRIBE WORK
t
Enum. Dist. Location (Area)
$,
V
FEES COLLECTED
VALUATION
SOURCE
GAS
E1211ECTRIC
WATER
SEWER
Ownership
USE CODE
9. UTIOF
LITIES 'X!j Public El 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 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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT NS Plumbing
DATE OF APPLICATION / �� �d SIGNATURE OF APPLICANT UL`��Ctr� Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
ns Examiner
FOR GAS APPLIANCES
PIPE SIZES
PIPE LENGTHS
BTUS
r PERMIT IS NONTRANSFERABLE
6 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Planh
C eck
SEPA
Mobile Home
Other (Specify)
TOTA L $'
PERMIT NUMBER
M1 90-2
04* *9,00
*900
*9.000
E *0.00 00
849,98
08-13-80
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
o 8 —I1 �` -8, o' 8 "s 0.0 z
DATE ISSUED PERMIT NO.
X9,00°�
TOTAL