1979, 07-24 Permit: 79-936 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
BLOSSEY AVENUE, E. 13005
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
GRAHAM JOHNSON
PHONE
PARCEL NUMBER/S
ADDRESS
SAME
ZIP
Required Set Backs in Feet
North 'South East 'West
4.
CONTRACTOR
POWERS, INC.
PHONE
535-7714
Size of Parcel 1 Zone Classification
ADDRESS
E. 6507 Mallon
ZIP
99206
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
DWL Area I 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.
EX MECH:
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
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
DEPT.,
SIGNATURE
SPECIAL APPROVALS
REQ'D_ RECD.
Env. Hee/4h
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
7g
r
APP' 'P FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 9.00
Plan Check
SEPA
Mobile Home
Other (Specify)
9.00
TOTAL $
PERMIT NUMBER
DATE July 24, 1979
04
*
A
93,52
07-24-79
2 6479.
*9.00
*9.00
*9,00
*000
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-24-79 95.65
*9.00,a�
CC
w
DATE
For
1
RECORD OF INSPECTIONS
Final Inspection
REMARKS INSPECTED EY'
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