1980, 09-24 Permit M80B-794 Heat Pumpr LAN NUMBER
JOB ADDRESS
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
1- 6 ! O5 "1 FFe:I 'DP
LOT BLOCK ISUBDIVI I
2
3
OWNER
RcI 4 C' �-� . C
ADDRESS
E FEk'Re + ` i0�'C
CONTRACTOR ������
4. kit-1- I FItt rIIVY-; 4 i4142_0)\)9. iNC'_
ADDRESS
E.4.5 ln+Et'LE
DESIGNER
5.
ADDRESS,
6.
PHONE
ZIP
PHONE
ZIP
PHONE
Valuation
CHANGE OF USE FROM
TYPE
7. OF
WORK
g. NEW
❑ BLD.
T
ZIP
0 OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East 'West
Size of Parcel 1 Zone Classification
Type Const. 1 Occupancy I Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor 1Upper
Floors I Garage Area Storage
Area of Decks Finished Basement
Unfin- Basement
No. Baths l No. Stories No. Rooms No. of Dwellings
il
CERTIFICATE Req'd.
DESCRIBE WORK of EXEMPTION
8 _
1 ZiA .''iC i-1EI-1I p�{fv1Pi'Di c',l WcfZi Enum. Dist. ILocation (Area)
VALUATION SOURCE GAS ELECTRIC WATER
OF
,} SEWER Ownership I USE CODE
9. UTILITIES � X: I Public ❑ Private El
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
❑ ALT.
❑ PLMB.
❑I AD'N.
EV. MECH.
❑ RPL.
❑ M.H.
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
❑ MVE.
O POOL
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Rec'd. (Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $1.00
PERMIT NUMBER
04* *900
*900 VI
*9,006
A t *000 8
79.1 g
09-24-80
g 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSIIGNrF
24-8.'0 79,45 *900'2-