1980, 02-05 Permit M80-867 Heat PumpP ,AN NDMBER
1
APPLICATION/PERMIT
PERMIT NUM=ER
-
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE �L
APPLICANT: COMPLETE
NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04* * 9.0 0
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
*9.00 m
LOT
BLO K
SUB I ON
i
PARCEL NUMBER/S
*9-006
2.
OWNER
PHONE
E *000 00
3. j
`iass- u8J
866;p
ADDRESS
ZIP
Required Set Backs in Feet
North South East West
02-05-80
CONTRACTOR
PHONE
Size of Parcel Zone Classification
c
;@6479.
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinkleretl
❑Ves ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
5.
TYPE M1 NEW ❑ALT. 1:1AD'N.
�`i
❑ RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
], OF
❑ OTHER
WORK 1:1BLD. ElPLMB. .t&-\MECH:
ElM.H. ElPOOL
CERTIFICATE
Req'tl.
I Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
g L 1 1
FEES COLLECTED
+`, 1
���
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
Utilities
X X X
Single $
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 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.
Plumbingi���t,,
DATE - �C' � 'S'[i
SIGNATURE � NU '
`Ire (� �
tt(-�X-L.0
Mech.
SPECIAL APPROVALS
mommommomm
SPECIAL CONDITIONS:
DEPT. REO'D. RECD.
Plan Check
Env. Health
SEPA
F
Planning
— t
Mobile Home
r
-
Fire MarsM1a11
-Eo—
Other (Specify)
Engineer
TOTAL $WHEN
r0earance
MACHINE VALIDATED
IN THIS SPACE,
THIS BE`OMFy4 A PERMIT.
DATEFFICIAL �� _�
D /
0 µ 7 Z *9.0 OIL �E-.