1979, 08-23 Permit: 79-2697 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
LOT D3OCK sus 941 forte '
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
cx1. Cook
PHONE
9.1.2 •)tSt,
PARCEL NUMBER/S
P,DDRE
. 503 fjA.2,eE,e
CONTRACTOR
4. /9-/ /j%/F'7JASG' 4A,ADDRESS at
ZIP
eneap
Required Set Backs In Feet
North 'South (East (West
PHONE
v'F9- 956/
Size of Parcel
Zone Classification
ZIP
9'?08
Type Const.
Occupancy Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
ZIP
Valuation
Building Area in Sq. Ft.
DWL Area f Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
al MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. AOD ON ,R T7N hieAtr Pi/j /»O
VALUATION Source GAS ELECTRIC
of
9. Utilities
)0(
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 F / '77 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE`' JO23_7�OFFICIA
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 4'C d
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7/ eo
N
PERMIT NUMBER
DATE
04* *9.00
*9.00 rn-
*9.006
E *000 S
26962
08-23-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-23--79 269.75 *9.00
aIJ-
• .\t.
RECORD OF INSPECTIONS
• 7 n
Final Inspection
REMARKS INSPECTED BY
• < ,o
v41-
09—S2—Aa
SPdPt
E *COO
+600R
}600 112
Oct* *600