1979, 11-16 Permit: 79-7987 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
3
JOB ADDRESS
LOT
OWNER
'in' I` o
SUBDIVISION
Ailey SctsJ
ADDRESS
/1! ,,zi CSL I/I.✓ ,�,G?
PHONE
ZIP
J9&/
4.
CONTRACTOR
h-1
/)EAT" PEAnisidic.
ADDRESS
N5 We i L r=
PHONE
5. ADDRESS
DESIGNER
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
992cfi
PHONE
ZIP
TO
❑ NEW ❑ ALT. ❑AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. L'NVIECH: ❑ M.H. ❑ POOL
❑ OTHER
DESCRIBE WORK
A 00 OA) 1-JEa-r �r,
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Size of Parcel
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
DWL Area
Split Entry
No. Baths
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms
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 dL /I"-' 1.43
Rec. Room
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 47,0e1
PERMIT NUMBER
DATE
04* *9.00
*9.00 tri
*9.006
E *0,00
798.62
11-16-79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
ll -1-,7i')
798.72 ,A9.002
APPROVED FOR ISSUAHCE —