1980, 09-24 Permit M80B-793 Heat PumpPLAN.NUMBER
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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 ADDRE
LOT L C
S, 7;'rE_I\ e„Ek LiIry C
OWNER
3. R au! LEERS 1 t
ADDRESS
RT tC 4 )
CONTRACTOR
4. t(As1 HE�iTINc� �� /�►Pieo�p. Ir��
. )EILE
DESIG ER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
PHONE
PHONE
I`/ C% ()
PHONE
ZIP
NEW ❑ ALT. D AD N. 0 RPL. ❑ MVE.
❑ BLD. 0 PLMB. .g MECH. 0 M.H. 0 POOL
DESCRIBE WORK
0 OTHER
8. I t4 Y/-\ !L .Lt c*J HEAT- P. UAl `pcte i ' F'
VALUATION SOUR EOF GAS ELECTRIC 'WATER SEWER
9. UTILITIES X
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East (West
Size of Parcel
Type Const.
Area of Decks
No. Baths
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area In Sq. Ft.
Finished Basement
No. Stories
CERTI FICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ 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
SPECIAL CONDITIONS:
Storage
Unfin. Basement
No. Rooms No. of Dwellings
Req'd. Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 9, oV
PERMIT NUMBER
3 "" 79,--S
04* *9.00
*9.00 5
*9.006
A *0.00
79.2�
09-24-80
z 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0.91'4 24 4+' 8':'0'
DATE ISSUED
79,3z
PERMIT NO.
9,00!
'TOTAL
o�
0
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SPECIALISTS IN CUSTOM BUILT HOMES • DESIGN • CONSTRUCTION
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2. 4821 °;P:_.. _..,R LA::E
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SP0 _P.i:E SAY
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TsWileas
matifin COCKS STEEL. BUILDINGS INC.
asn
(P-:CEL YMBEP- O5442-9I29)
LEGAL - The oo>>t'n _''of trat csrtion of
TT.ACT B of F`OP,_ PLAT g 5P. ?9-14L: ..rich
lies within OOV,t lot 5 of 2ECTTON 5
T07 SHIP 24, RANGE E L44 Y and lies
o
east of SPE?'CEP. LANE as shown on face of
plat.
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