1979, 10-12 Permit: 79-5938 Heat Pump-PLAN 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
4.
JOB ADDRESS
3
LEGAL DESCRIPTION - SEE ATTACHED
LOT
OWNE
BLOCK
1j.
CON CTOR
1,11.
ADD ESS V
BDIVISION
•
ADORES ?O
DESIGNER
6' ADDRESS
PARCEL NUMBER/S
27
E -1---206o
ZIt q
PHONE
HONE
Required Set Backs in Feet
North !South !East !West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
Eves ❑No ❑ Req'd.
Valuation (Building 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
O NEW
O BLD.
O ALT. t,d AD'N. 0 RPL. ❑ MVE.
0 OTHER
O PLMB. KMECH: 0 M.H. 0 POOL
No. Baths
No. Floors 1 No. Rooms
Rec. Room
CERTIFICATE
of EXEMP ION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
Source
of
Utilities
GAS
ELE TRIC
Xy
WAT
ri
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 ordinan s governing this
type of work will be complied with whether specified herein or not. The granting of a permdoes not presume
to give authority to violate or cancel the provisions of any other state or I•ca law regulati•. construc> or the
performance//of construction.
DAT/40—e_ 7SIGNATURE
DEPT.
-r SPECIAL APPROVALS
REQ'D. RECD.
Env. Health`
s.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 00 -7/"Z -7o FFICIAJ
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
s
M//n
DATE _ / 0 —g— — .79
PERMIT NUMBER
79
G4* *9,00
* 9.00
* 9.006
B *0.00
5937@
10-12-79
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1011'2-17'9 59 3,`8 z
*9,OOaF1