HomeMy WebLinkAbout1979, 08-16 Permit: 79-2351 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
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
DESIGNER
5' ADDRESS
PHONE
PARCEL NUMBER /S
Required Set Backs in Feet
North 'South Eas
West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
DESCRIBE WORK
❑ ALT.
❑ PLMB.
TO
ICY AAD'N. ❑ RPL. ❑ MVE.
I MECH: ❑ M.H. ❑ POOL
Split Entry
Split Level
❑ OTHER
No. Baths
No. Floors
No. Rooms
Storage
Rancher
Rec. Room
Not Req'd.
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
VALUATION
9.
Source
of
Utilities
G
OTRIC
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 be complied with whether specified herein or not. The gr ting of a pe it does not presume
to give authority to violate or cancel the provisions of any other state or/loc law regul.. ing constr on or the
performs of c.nstru , n.
DATE SIGNAT
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATER
'v\iCh
OFF
APP': FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) �
TOTAL $ /. J
J—j
DATE
n
PERMIT NUMBER
04* *9,00
*9.00
*9.008
A *000
235.02
08 -16 -79
s 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 -16 -79
235,12 *9.0noJ
RECORD OF INSPECTIONS
DATE REMARKS
Final Inspection
INSPECTED BY
% clAd
o;-.1 r-�
522011
V *00t.
4,6005i:
*dr)
4600