HomeMy WebLinkAbout1979, 11-02 Permit: 79-7202 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
c,3aaa
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
UBDIVISION
3.
OWNER` _eu e -G(i�GL�
PH NyE
are( -e
PARCEL NUMBER/S
ADDRESS
ZIP
Required Set Backs in Feet
North 'South East (West .
CON CTOR—�yy/,,
4. AD ESSa_D
Pti
Size of Parcel
Zone Classification
ZIP 9 %
Type Const.
Occupancy
Sprinklered
❑Yes UNo U Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in 5q. Ft.
ADDRESS
ZIP
DWL Area Basement Area
Garage Area
Storage
6.
TYPE
7. OF
WORK
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
0 ALT. .tn'AD N. 0 RPL. 0 MVE.
❑ PLMB.
FS MECH: 0 M.H.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESCRIBE WORK/
8.
VALUATION
9.
Source
of
Utilities
GAS
SEWER
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 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 al law regulating construction or the.
performance of construction.
DATE /4 -3/- 7/
DEPT.
SPECIAL APPROVALS
RECD. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
\i
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
M77
DATE f O 77
04* 9.00
*9.00 to -
PERMIT
PERMIT NUMBER
-1R- -7zo -z-
720.12
11-02-79
B 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
1'1-02'H7t.9, 72'0.25
*9.00 a,171