HomeMy WebLinkAbout1979, 07-05 Permit: 79-96 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
1.
2.
3
JOB ADDRESS
BALFOUR, N. 1825
LEGAL DESCRIPTION — SEE ATTACHED
LOT
6 j
BLOCK
3
SUBDIVISION
OWNER
G. STERN
Valley Vista Sub
PHONE
924 -5989
PARCEL NUMBER /S
ADDRESS
N. 1825 Balfour
ZI P
Required Set Backs in Feet
North (South East 'West
4.
CONTRACTOR
KOHLER TOWER UNITED
PHONE
326 -5600
Size of Parcel
Zone Classification
ADDRESS
N. 1324 Ash
ZI P
99201
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE Req'd.
of EXEMPTION
Rec'd.
Not Req'd.
DESCRIBE WORK
a Carrier Heat Pump
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
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 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
SPECIAL APPROVALS
DEPT. REQ'D.
Env. Health
REC'D.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
9.00
TOTAL $ 9.00
PERMIT NUMBER
7c7 %
DATE July 5, 1979
04* *9.00
*9.00
9,52
07 -05 -79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7 5 7 9
0 -0
9.6z *9,00 °�
DATE
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RECORD OF INSPECTIONS
et
REMARKS
L
0
Final Inspection
INSPECTED BY
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