1979, 08-27 Permit: M79-2861 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 /
LOT
2.
BLOCK I UBDIV ISi ON
3
4.
5.
OWNER
ADDR
CONT
A
OR
55
DESIGNER
SE --0796
9x06.
PHONE
.796
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
Required Set Backs in Feet
North 'South 'East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation 1 Building Area in Sq. Ft.
ADDRESS
ZIP
OWL. Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK8.
DESCRIBE WORK
//�/�--' J<
VALUATION 1E
❑ NEW
❑ 131.0.
❑ ALT. I.J Aj� N. 0 RPL. 0 MVE.
❑ PLMB. VMECH: 0 M.H. 0 POOL
9.
Source
of
Utilities
0 OTHER
ELECTRIC
(A-26
No. Baths
No. Floors
No. Rooms
Rec. Room
• CERTIFICATE
of EXEMPTION
WATER
SEWER
Req'd
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correc . 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 o ocal law re' lacing cons ruction or the
performa 9f construction.
DATE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
41P, 01
1
SPECIAL CONDITIONS:
DATE
Recd.
Not Req'cl.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
DATE f -/V- 7/
04* / *9.00
*9.00 15
*9,006
A *000 8
2860f
08'-2779
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 8°; 211711U 719
28&H
O
U
W
0 -
Cf)