1982, 01-08 Permit: 82A-131 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
3.
JOB ADDRES
LOT
OW
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
/6 Cet BLOCKr SUBDIVISION
A R ESS
/�te / tk. — Y4
C T RAtCQTuO R
4' DRESS
10 144.1"
DESIGNER
5.
ADDRESS
6.
PHONE
ZIP
75,70, di co
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South (East 'West
Size of Parcel 1 Zone Classification
Type Const.
PHONE
Occupancy ( Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation lBuilding Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. J4MECH. 0 M.H. 0 POOL
DESCRIBE WORK
VALUATION
9.
SCyURCE
V OF
UTI LITIES
GAS
EL
CP
ER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Enum. Dist. I Location (Area)
Ownership
Public D Private D
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 INSPECTIONS
USE CODE
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$/Y
PERMIT NUMBER
.2)),A - (2(
04* * 1 4.00
*14.00 V>
*14.006
A *0.00
1302
01-08-82
2 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O-08-82 1312 *140021 -1 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL