1981, 05-20 Permit: 81A-4942 Heat PumpPLAN NUMBER APPLICATION/ PERMIT dA P `I N' R
SPOKANE COUNTY - EmiLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`Ie APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS -0 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIV15IONPARCEL NUMBER/S
2.
OWNER/- PHONE
3. fain 4 � S'
ADDRESS
ZIP
Actual Set Backs in Feet
North South
East West
CONTRACTOR® f
PHONE
Size of Parcel
Zone Classification
bd
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor I Upper
Floors
Garage AreT
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
I Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE El NEW El ALT. ,jdAD'N. El RPL. 1-1 MVE.
7, OF ❑ OTHER
❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Rec d.
Not Req'd
WORK
of EXEMPTION
DESCRIBE W RK
Enum. Dist. I
Location (Area)
FEES COLLECTED
8. e2- Gr<
VALUATION SOURCE
GAS
ELECTRIC WATE ER
Ownership
USE CODE
Q, UTILITIES
Public ❑Private ❑
Single $
I 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 INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
ATE
NAME D
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
echnician PERMIT IS NONTRANSFERABLE
` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ �OD
04* *14,00
*1/�00
* 1 4.00
A *000
494.1 z
05-20-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4 g 4 2 Z
DATE InU1t'b2 u 1- 0l PERMIT NO.
V
X1400 a�
TOTAL rl