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1979, 10-08 Permit: 79-5481 Heat Pump!PLAN 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 S I_ LOT BLOCK SUBDIVISION OWNER 3. M1 KE MATTitJ&L•j ADDRESS /! coNTR /O a uLJi U -WAVE itpFUE. 14/AA 4. A-1 HI TI,J4 4 f�11R/Lv, ADDRESS t+1 A DE IGNER 5. ADDRESS PHONE ZIP LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S a9037 PHONE CHANGE OF USE FROM 6. TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. IP PHONE ZI P TO ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER Required Set Backs in Feet North South East West Size of Parcel Type Const. Valuation Occupancy Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. DWL Area I Basement Area Building Area in Sq. Ft. Garage Area Split Entry No. Baths Storage Split Level Ranche No. Floors CERTIFICATE of EXEMPTION No. Rooms Rec. Room Req'd. Rec'd. Not Req'd. DESCRIBE WORK VALUATION 9. Amp ©1.c 1-4 u Source GAS ELECTRIC of Utilities 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 DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATED U %/ OFFI APP P FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 9/ CV M PERMIT NUMBER DATE 04* *9.00 * 9.00 N * 9.006 E *000 54a0B 10-08-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10 08-7'9 5'4`8.15 *9,0.02'F