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1979, 07-25 Permit: 79-1010 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 CONKLIN ROAD, S. 1811 LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION Ridgemont Estates #2 2. 14 OWNER 3. D & B BUILDING (HOMESTEAD) ADDRESS RT #7, Box 235 3 PARCEL NUMBER/S PHONE 926-0755 ZIP 99206 Required Set Backs in Feet North [South East (West 4. CONTRACTOR A-1 HEATING & A/C ADDRESS E. 45 Weile PHONE 489-9581 Size of Parcel Zone Classification ZIP 99208 Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5. ADDRESS PHONE Valuation Building Area in Sq. Ft. ZIP DWL Area I Basement Area Garage Area I Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. P1 MECH: ❑ RPL. ❑ M.H. ❑ MVE, ❑ POOL ❑ 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 SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE OFFICIAL FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 9.00 TOTAL $ 9.00 DATE PERMIT NUMBER 7 c/- /e2/ July 25, 1979 04* *9.00 * 9.00 * 9.006 A *0.00 100,9 07-25-79 2 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. B7-25-79 1011.02 *9.00°_, APPROVED FOR ISSUANCE —