1980, 02-21 Permit M80-1414 Heat PumpPLAN NUMBER
JOB ADDRESS
LOT BLOCK
3. ADDRESS
4' ADDR
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
LEGAL DESCRIPTION — SEE ATTACHED
//7fee
SUBDIVISION
OWNER _ 4
'd#AO
CONTRACTORy�[ A
2
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
9.
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
D PLMB.
❑ AD'N.
❑ MECH:
Source
of
Utilities
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE
❑ RPL.
O M.H.
PARCEL NUMBER/S
Size of Parcel
PHONE Valuation
O MVE.
O POOL
❑ OTHER
ELECTRIC
Split Entry
No. Baths
1,East (West
I
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
SEWER
No. Rooms
Storage
Rancher
Rec. Room
Req'd. Rec'd.
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SIGNATURE
DEPT.
Env.
Planning
Fire Marshall
Co.CoEngineer
Utilities
Zone Zone Clearance
SEPA Checklist
SPECIAL APPROVALS
REQ'D.
R EC' D.
SPECIAL CONDITIONS:
DATE /� l OFFICIAL w ��
APPPnVFn FOR ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
so- (414
te
DATE /9.,C0
c4* *9,00
*9.00 17)
*9.006
*Q00 8
141.32
02-21-80
2 6479.
$
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES.A PERMIT. A Z
,02'-21. 1 A 4
'tL
*9.00°;2