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1981, 01-13 Permit: 81A-0412 Heat PumpPLA" NcSiVIBER APPLICATION/ PERMIT PERMIT NUMBER ' ' 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.©_ �T LEGAL DESCRIPTION — SEE ATTACHED LO BI-OCK 15UBDIVISION PARCEL NUMBER/S 2. OWNER PHONE 3. vw C1 l �—a (v c, a$ - - `i 01> ADDRESS ZIIPsQ Actual Set Backs in Feet \ VN40k —` 1 �0� North South East West CONTRACTOR PHONE Size of Parcel Zone Classification - A tN\� oND iT�p �N 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ` � \ ❑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. Baseme 6. I Baths No. Stories No, Rooms No. of Dwe' TYPENo. NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑OTHER 1-1 BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not R WORK of EXEMPTION DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED 8. --&.i' -%S t'A y � 1� VALUATION SOURCE GAS E RI WATER SEWER Ownership USE 9, OF UTILITIES Public ❑ Private ❑ Single $ I hereby certify that I have read and a amined this application and have read the "NOTICE" provisions inc on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governintype Iluded of work will be complied with whether specified herein or not. The granting of a permit does not prBuilding to give authority to violate or cancel the provisions of any other state or local law regulating construction performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION t / SIGNATURE OF APPLICA Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist n- PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $� WHEN MACHINE VALIDA7 THIS BECOMES A PERMIT. 01,E !} DATE ISSUED 04* *14.00 *1400 * 1 4.000 A4.n 41.1 01 -1 3-8p x,479. E, 412' PERMIT NO. * 1'A'0 0 a -j - TOTAL