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1979, 08-09 Permit: 79-1880 Heat Pump(PLAN 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 1. DORA, N. 2118 LEGAL DESCRIPTION — SEE ATTACHED LOT 2. BLOCK SUBDIVISION PARCEL NUMBER/S 3. OWNER GEORGE BROWN ADDRESS SAME PHONE 924-1.171 ZIP Required Set Backs in Feet North 'South East 'West 4. CONTRACTOR NORCO HEATING ADDRESS' E. 5051 Trent PHONE 534-4975 Size of Parcel I Zone Classification ZIP • 99206 Type Const. Occupancy Spr ink lered Oyes ONo 0 Req'd. DESIGNER 6. ADDRESS PHONE Valuation I Building Area in Sq. Ft. ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Split Entry Split Level Rancher O NEW O BLD. O ALT. O PLMB. 0 AD N. MECH O RPL. O M.H. ❑ MVE. O POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. . Re 'd. Not Req'd. DESCRIBE WORK -8. HEAT PUMP VALUATION 9. Source of Utilities GAS ELECTRIC XXXXX WATER 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 correc . 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. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE / (�77OFF APPR FOR ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) -!.00 TOTAL $ 9'00 N PERMIT NUMBER 7,-182 cp DATE August 9, 1979 04* *9.00 *9.00 N *9.00,5 A *000-3 1879 08-09-79 B 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08-09'- 79 188.0= *9.00 o LL i-