1980, 05-15 Permit: 80-4820 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS kIARD TO MAKE 4 COPIES
JOB ADDRESS
LOT
BLOWS
1,04,7'Ig
47th. Avenue
OWNER
3. Run HeAman
ADDRESS
Ea4t 10719 - 47th. Avenue
CONTRACTOR
4 PoweA4, Inconponated
ADDRESS
Eaz. 6507 Ma tovc Avenue
5.
ADDRESS
DESIGNER
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZI P
99206
ZIP
99206
PHONE
ZIP
TO
❑ NEW D ALT. ® AD'N. ❑ RPL. ❑ MVE.
O BLD. ❑ PLMB. XX MECH: 0 M.H. ❑ POOL
0 OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
9.
DESCRIBE WORK
Cahn -.en heat pump added to pitezent 4 4tem
VALUATION Source GAS ELECTRIC
of
Utilities
Required Set Backs in Feet
North
South East
Size of Parcel
Type Const.
Occupancy
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Basement Area
Split Entry
No. Baths
Building Area in Sq. Ft.
Garage Area
Split Level
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
Rec. Room
SEWER
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
`TOME OWNER'S WARRANTY
SPECIAL CONDITIONS:
YES MATE
OFFICIAL
fa.*,
APPROVED
APPROVED FOR ISSUANCE
a
FEES COLLECTED
Single $
Building
Plumbing
Mech. 6.00
Plan Check
SEPA
Mobillee�� ��Home
OtPh�r}1Spci#yI 3-n0
TOTAL $ 9.00
M
PERMIT NUMBER
DATE May 14, 1980
* 9.Qp
* 9.00
*9.00,5
B *0.00 0
481.9$
05-15-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05.1'5-'80
48202 *9.00°F-