1981, 03-10 Permit: 81A-2228 Heat PumpLAN 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`' LEGAL DESCRIPTION — SEE ATTACHED
1. �e' /1 Li - ..,
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNE PHONE
3.
ADDRESS
ZIP
Actual Set Backs in Feet
L >���
North South East
West
CONTRACTOR
PHON
L �.�
Size of Parcel
Zone Classification
4. ADDR S
ZIP
TypeConst.
Occupancy
Sprinklered
. j
11-Q-
El ❑No 1-1Req'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.
f
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE '� NEW ElALT. ElAD'N. El RPL. ElMVE.
7, OF / ❑ OTHER
❑ BLD. ElPLMB. MECH. ElM.H. ElPOOL
CERTIFICATE
Req'd.
Recd.177
WORK //
of EXEMPTION
D SCRIBE WORK
Enum. Dist. Location (Area)
%FEES
8
COLLECTED
VAL IOGAS
"SOURCE
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
Public El 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
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
DATE OF APPLICATION 3 SIGNATURE OF APPLICANT �� `-
Mech. �--
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
ti IPERMIT NUMBER
E - !`
04* *700
*7.00
*7,0081
A *Q00
22272
03-10-81
g- 6479.
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
03 -Ila 81' 222825
DATE ISSUED PERMIT NO.
*700IOL -�J
TOTAL
Y
CL
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U
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