1980, 10-07 Permit: 80B-1529 Heat PumpPLAN 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
LOT BLOCK
3
OWNER
ADDRESS
o7
SUBUIVISIO l
To_ki/y-L)
ZIP
`92Oe
CONTRAC
4. ADDRESS
a -61..x_
PHONE
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
9.
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
❑ PLMB.
SOURCE
OF
UTILITIES
GAS
o
PHONE
ZIP
TO
AD'N. ❑ RPL.
MECH. ❑ M.H.
LECTRIC
❑ MVE.
❑ POOL
WATER
❑ OTHER
SEWER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S t
Actual Set Backs in Feet
North
South East
Size of Parcel
Type Const.
Valuation
Main Floor
No. Baths
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
Storage
No. Rooms
CERTIFICATE
of EXEMPTION
Enum. Dist 1 Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
Req'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 INSPECTI•NS
(v
DATE OF APPLICATION 9 -(` v Qv SIGNATURE OF APPLICANT. if Z/YThiaJee
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ding T. ician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check u
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 9.00
PERMIT NUMBER
sz,cor; ) 57
04* *9.00
* 9,QQ
* 9.006
A *000
15288
10-07-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1<01;07
DATE ISSUED
15 a9 2 *9.00
PERMIT NO. TOTAL