1979, 09-20 Permit: 79-4422 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1 LOT
2.
3.
4.
5.
6.
OWNER
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
BLOCK TSlff3DIVISION
CONTR
LEGAL ,)ESCFiIPTION - SEE ATTACHED
ADDRESS
n2di4`
DESIGNER
ADDRESS
ZI P
PHONE
-405-'
Zy9ad
PHONE
CHANGE OF USE FROM
ZIP
TO
PARCEL NUMBER/S
Required Set Backs in Feet
North 'SouthEast (West
Size of Parcel Zone Classification
Type Const. Occupancy SprinkIered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
DWL Area I Basement Area Garage Area Storage
Split Entry
Split Level
Rancher
TYPE
7, OF
WORK
❑ NEW 0 ALT.
❑ BLD. ❑ PLMB.
MECH:
DESCRIBE WORK
8. G/•C/Gr/yC/�vl c.� �.....
VALUATION
9.
Source
of
Utilities
❑ RPL. 0 MVE.
❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
/(4diel,
ELECTRIC WATER
GAS
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
SEWER
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction,
DATE
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or lo .I law regul ting construction or the
SPECIAL APPROVALS
DEPT. REQ'D.
RECD.
SIGNATURE
Env, Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
OFFICI
APPROV ` D OR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 9
DATE
PERMIT NUMBER
��}-- 422
04*
E
4421
09-20-79
2 6479,
*9.00
*900 17)
*9.006
*000
WHEN MACHINE VALIDATED IN THIS SPACE,
THISYCO I U A E,(3MIT. 21
*9,00.2r
O
w
0
0,