1980, 09-24 Permit: 80B-802 Heat PumpN 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
//06 LECwAL DWCRIPTION — SEE ATTACHED
LOT I BLOCK UBDI I ION PARCEL NUMBER/S
OWNER
3.
NE
ADDRESS
ZIP
Actual Set Backs in Feet
r'1 //--
ao
- W
North South East West
CONTRAC OR
PHONE
Size of Parcel
Zone Classification
tag
4. ADD S 2/ `
.Q
Z o )
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. Basement
6.
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwelling
❑ NEW ❑ALT. �AD'N. ❑ RPL. ❑ MVE,
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. �MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. I Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
LECTRIC
WATER
SEWER
OwnershipSE
CODE
9.
OF
I UTILITIES
`��
I
Public ❑ Private Or
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. SEEREVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION 9-4-90
0 SIGNATURE OF APPLICANT RZ—
Mech. C�
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
inning
re Mar
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $-9.00
PERMIT NUMBER
N I —Pct
04* *9,00
*9.00
*9.00
A *0,00
78.3
09-24-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2. B 0.2
DATE ISSUED PERMIT NO.
O J
TOTAL