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1980, 09-09 Permit: 80-9835 Heat Pump
PLAN 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 ADDR LOT 2. BLOCK SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S OWNER Ci 3. QA.L2� P ONE ADDRESS CONTRAC OR` �,,// 4. �Ks�ADDRE S • 0207 C ,d. n 'LCA DESIGNER 5. ZIPS 9d0 SP PHONE Actual Set Backs in Feet North {South East 'West Size of Parcel Zone Classification 9(c7 PHONE Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin_ Basement TYPE 7, OF WORK ❑ NEW ❑ BLD. DESCRIBE WOR 8. VALUATION 9. ❑ ALT. AD'N. ❑ RPL. ❑ PLMB.MECH. ❑ M.H. -*,(1, -OP SOURCE OF UTILITIES GAS D MVE. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. Enum. Dist. Location (Area) WATER SEWER Ownership Public ❑ Private 0 USE CODE 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 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 INSPECTI,e, S D� ``�//,, DATE OF APPLICATION 9� J � SIGNATURE OF APPLICANT / �-%n,O(1Cy` SPECIAL APPROVALS 1 SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Cv Plan Check 1D`©� SEPA Mobile Home Other (Specify) TOTAL qco PERMIT NUMBER 80-9,93J 04* *9,00 *9.00 *9,00 A •*0,00 8 982.4 09-09-80 z 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 80 983.5'9 *9.00 DATE ISSUED PERMIT NO. TOTAL