1981, 04-01 Permit M81A-2994 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
la .0e, CRAA.-tti)A -
SUBDIVISI N
2.
OWNER f elTh4Q-4,
• t� 12 Cp
ADDRESS
CONTRACO 6
7
4' ADORE
c U C1
DESIGNER
5' ADDRESS
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East (West
PHONE Size of Parcel I Zone Classification
zqei
PHONE
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
Main Floor I Upper Floors
Garage Area
Storage
6.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin_ Basement
TYPE
7. OF
WORK
XNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. cicMECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8.
VALTION
9.
SOURCE GAS
OF
UTI LITIES
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership
Public ❑ Private
Req'd.
ILocation (Area)
I
USE CODE
Rec'd.
Not 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 INSPECTIONS
—h`
DATE OF APPLICATION — b I SIGNATURE OF APPLICANT U
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
(L/C.
TOTAL $
PERMIT NUMBER
1)4,-- z7 94--
04* * 1 4.00
* 1 4.0 0 3
* 1 4.006
A *000
299,3�
04-01-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
C
L
g Te �ion
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
•
0470'1'-'81 2994Z *1400a�
DATE ISSUED PERMIT NO. TOTAL