1979, 10-24 Permit: 79-6625 Heat PumpPLAN NUMBER
JOB ADDRESS
1.
LOT
BLOCI
2.
9 ?a r12
OWNER.
��
3.
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
BDIVIS[ UN PARCEL NUMBER/S
PHONE
ADDRESS
ZIP
Required Set Backs in Feet
SAt412
9 ?a r12
North South
East. West
CONTRACTOR
40j
-PHONE
Size of Parcel
Zone Classification
- r n1 A I AJ
-9
4' ADDRESS -
Type Const.
Occupancy
Sprinklered
E,
❑Yes ❑No ❑ Req'd.
DESI NER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE • ❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'c
11 BLD. ❑ PLMB. 1-1MECH: ElM.H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8 LjL`J-i)—CAAl
VALUATION
Source
GAS ;.
E RIC
WATER
SEWER
of
_
9,
Utilities
Single $
1 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
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health _
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
PERMIT NUMBER .
M 7 -s
DATE
04i* *,9,.0'0,
*9,00
* 9.0 0'6
E *0.00 00
6624
10-24'-79
-9 6;479
Utilities
TOTAL $ OD
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist, THISlBl��C�'-O'MIL�A PlE *
.J
T-1`7
UIU 25 7.0
FF
DATE I
APPROVED FOR ISSUANCE