1979, 09-06 Permit: 79-3497 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER—�
DATE u �-
04* *9.00
*9.00
*9,00 21)
E *Q00
349.62
09-06-79
2 6479.
DESCRIBE WORK
F' Y'
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
VALUATION
Source GAS ECTRIC WATER SEWER
LEGAL DESCRIPTION — SEE ATTACHED
of { - .�
utilities /
r
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LOT
BLOCK
SUBDIVISION
be complied with whether specified herein or not. The granting of a permit does not presume
P,ARCELPTUMBER/S
2.
perfor rice of c
I
Plumbing
DATE
SIGNATURE
OWNER
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 17
P!;IONE111
(//
"3
DEPT.
3.
Plan Check
Env. Health
SEPA
ADDRESS
ZIP
Required Set Backs in Feet
Fire Marshall
Co. Engineer
Other (Specify)
North South
East West
CONTRA C
TOTAL $
Zone Clearance
PHONE
Size of Parcel
Zone Classification
WHEN MACHINE VALIDATED I
SEPA Checklist
6/14—
THIS B COME A PERMIT.
G � �i-79
— G
DATE OFFICIA
4'RES'
Z
Type Const.
Occupancy
Sprinklered
��L�lC�
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
DWL 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 El NEW
El ALT.
AD'N. ❑ RPL.
❑ MVE.
7,
OF
❑ BLD.
❑ PLMB.
A MECH: ❑ M.H.POOL
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
---7'
of EXEMPTION
PERMIT NUMBER—�
DATE u �-
04* *9.00
*9.00
*9,00 21)
E *Q00
349.62
09-06-79
2 6479.
DESCRIBE WORK
F' Y'
FEES COLLECTED
8.
VALUATION
Source GAS ECTRIC WATER SEWER
9,
of { - .�
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 cal law reg,4tating construction or the
perfor rice of c
struction.
Plumbing
DATE
SIGNATURE
17
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 17
DEPT.
REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED I
SEPA Checklist
6/14—
THIS B COME A PERMIT.
G � �i-79
— G
DATE OFFICIA
IS SPACE,
49.7T *9,00°