HomeMy WebLinkAbout1980, 05-10 Permit: 80-4611 Heat PumpPLA%,NUMBrmR
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE ❑ NEW ❑ ALT. VD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK E-1BLD. ElPLMB. ❑ MECH: ❑ M.H. El CERTIFICATE Req'd. I Recd. Not Re(
DESCRI WORK
8.
of EXEMPTION
FEES COLLECTED
VALUATION
Source
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
WATER
JOB ADDRESS
E
$ q
%t
Of
LEGAL DESCRIPTION — SEE ATTACHED
1.
D
H,
Q,
Utilities
LOT
BLOCK
SUBDIVISION
Single $
PARCEL NUMBER/S
2.
I
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
OWNER
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
PHONE
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
ADDRESS
Plan Check
FOR GAS:
ZIP
Required Set Backs in Feet
SEPA
��^ `'
North South
East West
CONTRACTOR
Mobile Home
_.
PIPE LENGTHS:
PHONE
Size of Parcel
Zone Classification
Other (Specify)
Co. Engineer
- e-
J 3,/./
5�
4.
A D D R 5
V
ZI /
Type Const.
Occupancy
Sprinklered
1 'e,,�
�i
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Ar;77
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT. VD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK E-1BLD. ElPLMB. ❑ MECH: ❑ M.H. El CERTIFICATE Req'd. I Recd. Not Re(
DESCRI WORK
8.
of EXEMPTION
FEES COLLECTED
VALUATION
Source
GAS
'"ELECTRIC
WATER
SEWER
r'_.._.
Of
Q,
Utilities
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.
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
FOR GAS:
Env. Health
SEPA
Planning
PIPE SIZES:
Mobile Home
Fire Marshall
PIPE LENGTHS:
Other (Specify)
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
BTU'S:
DATE611aOFFICIAL
7-0�APPROVED FOR ISSUANCE
TOTAL $
PERMIT NUMBER
DATE
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,13�COII15S A PERMIT.
3
L+
' 11.
r'_.._.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,13�COII15S A PERMIT.
3
L+
' 11.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,13�COII15S A PERMIT.
3