1980, 04-24 Permit M80-3901 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 4 COPIES
JOB ADDRESS
�. dl Eat 11004 Fence- DAive 99206
LOT BLOCK SUBDIVISION
2.
OWNER
3. E(1h,P 1-fnh_
ADDRESS
Eat 11004 FeJLket ►DA ive
CONT RACTOR
4. paulQl1A, 700011rnha..od
ADDRESS
EnA. 6;07 Maffoo Ave_LIU.e.
DESIGNER
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
ZIP
99206
PHONE
535-7714
ZIP
99206
PHONE
Required Set Backs in Feet
North 'South East West
Size of Parcel Zone Classification
Type Const.
Occupancy
Sprinklered
ales ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
5' ADDRESS
6.
ZIP
DWL Area l Basement Area
Garage Area 1 Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
AD'N.
MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Req'd.
Not Req'd.
DESCRIBE WORK
8. rahhieh heat pump added to ex-«-ivic 4y)stem
VALUATION Source GAS ELECTRIC
of
Utilities
9.
WATER
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 he 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
FEES COLLECTED
Single $
Building
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
utilities
Zone Clearance
SEPA Checklist ---
YES L
SPECIAL CONDITIONS:
Plumbing
Mech-
Plan Check
SEPA
Mobile Home
Penmit
Other (Specify)
h_00
3.00
TOTAL $ 9.00
PERMIT NUMBER
M --3901
DATE 4/23/80
C4 T *9.00
*900
*9.006
E *Q00
39002
04-24-80
2 6479,
1
w
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BE OMES PERMIT.
014 -24 280
390,1z *9.0.021
INCPCCTf I
HOME OWNER'S WARRANTY
DATE }OFFICIAL
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