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1979, 12-04 Permit: M-79-8674 Heat Pump
PLAN NUMBER JOB AD RESS 1. . I o 3. r� ADDRESS 4. L A DESIGNER 5. ADDRESS APPLICATIOU/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 SUBDI ISION PARCEL NUMBER/S EKiML9MO oI MW i\ 0Mml CHANGE OF USE FROM TO 6.• ZIP PHONE 3as- PHONE ZIP TYPL ❑ NEW ❑ ALT.AD'N. ❑ RPL. E3MVE. T WORK El BLD. 1-1PLMB. MECH: EI-M.H. 13 POOL 1:1 OTHER DESCRI WORK I - 8. equired Set Backs in Feet Orth South East West ize of Parcel - Zone Classification on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building Type Const. Occupancy Sprinklered I ❑Yes ❑No ❑ Req'd. 'aluation Building Area in Sq. Ft. SPECIAL APPROVALS SPECIAL CONDITIONS: DWL Area Basement Area Garage Area Storage SEPA Planning Split Entry Split.Level Rancher - Mobile Home Fire Marshall No. Baths No. Floors No. Rooms Rec. Room TOTAL $ '©o Zone Clearance CERTIFICATE Req'd. Recd. Not Rei of EXEMPTION I _ „ . FEES COLLECTED PERMIT NUMBER �1 — 11�8 (0-7 q DATE g 04* *9.00 *9.00 W *9.00 E *000 867,39 1'2-04`=7.9 6,479, VALUATION Source GAS L RIC WATER SEWER 9. r Utilities 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 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. Plumbing �Do - / DATE ` SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning - Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $ '©o Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS. BECOMES A PERMIT. O i4-'- 7i'8 '6 7.4 z APPROVED FOR ISSUANCE a.� *9.00: