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1979, 09-10 Permit: M79-3669 Heat PumpPLAN NUMBER JOB ADDR 1. 3. l/ i yr . ADDRESS con c R ESS .` 12 DESIGNER 5. ADDRESS 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 LEGAL DESCRIPTION — SEE ATTACHED CHANGE OF USE FROM 6. PHON �� ZIP ZIP 9� PHONE ZIP TYPE ❑ NEW ❑ ALT. O-AD'N. ❑ RPL. ❑ MVE. 7 OF WORK El BLD. ❑ PLMB. MEC ❑ M.H. ❑ POOL 1:1 OTHER DESCRIBE WORK. 8.✓�'!/� ee ize of Parcel - Zone Classification S ELECTRIC Type Const. Occupancy Sprinklered hereby certify that I have read and examined this application and have read the "NOTICE" provisions included []Yes [--]No ❑ Req'd. 'aluation Building Area in Sq. Ft. to give authority to violate or cancel the provisions of any other state or I al I w regu ting cons ction or the DWL Area Basement Area Garage Area Storage Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:. Split Entry Split Level Rancher SEPA Planning No. Baths No. Floors No. Rooms Rec. Room Co. Engineer 4r" Other (Specify) Utilities CERTIFICATE Req'd. I Recd. Not Rei of EXEMPTION. WHEN MACHINE VALIDAT SEPA Checklist �'7'�,, Q FEES COLLECTED VALUATION 9, Source of Utilities S ELECTRIC WATER SEWER Single $ 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 Building type of work will be complied with whether specified herein or not. The gra . g of a permit does not presume to give authority to violate or cancel the provisions of any other state or I al I w regu ting cons ction or the perform ce o -construction. Plumbing DATF �� SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:. DEPT. REQ'D. RECD. Plan Check Env. Health _.. SEPA Planning /` Mobile Home Fire Marshall Co. Engineer 4r" Other (Specify) Utilities TOTAL $ Zone Clearance _ WHEN MACHINE VALIDAT SEPA Checklist �'7'�,, Q ES A PERMIT. THIS BECOMES O l.r'll 0?F3 / 7 .,9 0FFICIAi G� DATE� APPROVED FOR ISSUANCE PERMIT NUMBER DATE 04* *900 *9,00 N *•9.00Y E *a00 82. 09-1&-79 ;2 6479. 316:,6,92 *9,00ai- 0 U W CL Z