1979, 07-25 Permit: 79-970 Heat Pump(PLAN 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 ADD
1494- BLOCK
Lo-r
I V 1610 N
pi RES
DESIGNER es"—
ADDRESS
6.
CHANGE OF USE FROM
7.
TYPE
OF
WORK
�fVEW
i BLD.
❑ ALT.
❑ PLMB.
ZIP
TO
❑ AD'N. ❑ RPL. ❑ MVE.
ECH: ❑ M.H. ❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Required Set Backs in Feet
North
Size of Parcel
South East
Wes
Type Const.
Valuation
Occupancy
DWL Area I Basement Area
Zone Classification
Sprinklered
❑Yes No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area Storage
Rancher
No. Rooms Rec. Room
Req'd. Rec'd. Not Req'd.
Split Entry
Split Level
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
9.
DESCRI L
'LUATION
E
TSource GAS
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
perfor mance of construction.
DATE �a
DEPT .
Env. Health
Plann ing
Fire Marshall
Co. E ngineer
Utilit ies
1
ECTRIC
WATER
SEWER
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
SPECIAL APPROVALS
REQ'D.
REC'D.
Zone Clearance
SEPA_ Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
1
DATE
PERMIT NUMBER
9 7- 9 70
04* *900
*9,00
*9,006
A *0,00
9692
07 -25 -79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 -25 -79
97,05
*9.00 °�
DATE
RECORD OF INSPECTIONS
REMARKS
Final Inspection
INSPECTED BY
01-S2-16
4,00C 2
460OR
4,60C
Ott• *600