1979, 08-08 Permit: M79-1805 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
2) C.1
LOT
BLOCK
SUBDIVISION
4.
OWNER
ADDRESS q
CONTRACTOR r
t�.Q Y1C�L>5' C', ct.i Y tl GC.cL
ADDRESS
5' ADDRESS
DES IGNER
,e 6 U Qrg40,I`tt,
1vc,.
PHONE
(a %-iaSot
ZI P
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
Required Set Backs in Feet
North South East (West
CHANGE OF USE FROM
6.
TYPE
7. OF
WO IRK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
TO
AD'N.
MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Size of Parcel
Type Const.
Zone Classification
Valuation
DWL Area
No. Baths
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
CERTIFICATE
of EXEMPTION
Req'd.
8.
9.
DESCRIBE WORK . 1 I t NaAINA %. j' ,ecj nu np
Source GAS ELECTRIC
of
1
Utilities
VALUATION
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. H ealth
RECD.
Planning
Fire Marshall
Co. En gineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
Storage
Rancher
Rec. Room
Recd.
Not Req'd
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ C) I'
i1
DATE
PERMIT NUMBER
0 *� - - l X9.00
*9.00
*9.006
A *000 8
18042
08 -08 -79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 -08 -79
180.52 *9.00
0 J
APP ,UrED FOR ISSUANCE —
DATE REMARKS
RECORD OF INSPECTIONS
* N 0 t(1,,
Final Inspection
INSPECTED BY
gc1,16
OU-04i—Ao
1E1001
V 4000
*601°N
460C
GI* *600