1980, 07-18 Permit M-80-7341 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
t4
PERMIT NUMBER
i — 234/
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
3.
4' ADDRE
JOB ADDRESS
LOT
OWNER
ADDRE
BLOCK
CO T ACTO
DE IGNER
5' ADDRESS
6.
fa? VD
SUBDIVISION
CHANGE OF USE FROM
TYPE
7. OF
WORK
9.
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North South
PHONE !�/ Size of Parcel
ftY�/ ` T
ZIP7 _1,26
PHONE
TO
❑ NEW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ,LMECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
VALUATION
SOURCE GAS
OF
UTILITIES
ELEC RIC
WATER
❑ OTHER
SEWER
Type Const. Occupancy
Valuation
Main Floor
Area of Decks
No. Baths
Upper Floors
Zone Classification
Sprinklered
❑Yes El No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories No. Rooms
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public 0 Private 0
Location (Area)
USE CODE
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
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
S CIAL CONDITIONS:
Storage
Unfin. Basement
No. of Dwellings
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
0(i *9.00
*9,00 V)
*9.006
E *0.00
73202
07-18-80
6.479..
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
eui ing chnician
��f C• /
� ✓
7/ o
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 7' 41 i'- 810
DATE ISSUED
7,3' 4,'1.z
PERMIT NO.
*:9,0 0 aj _
TOTAL