1979, 08-27 Permit: 79-2821 Heat PumpLAN NUMBER
s
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION Source GAS 9LECT,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 gr ting of a per t does not presume
to give authority to violate or cancel the provisions of any other state or I ca law regulati constructor the
perform ce off -construction.
Plumbing
DATE / / / 9 SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE � OFFIC
ADDD VCrY r1D IeCHAnlrr
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
-71
DATE r
04* *9.00
*9.00 N
*9.00
A *a00
28202
08-27-79
-4 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-27,-79 28,1
*9.00a-
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
JOB ADDRESS
!
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SU
DIV SIO
PARCEL NUMBER/S
2.
OWNER
P
3.
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESQ�
W2Q
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
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 1:1 NEW
11 ALT.
A ❑ RPL.
❑ MVE.
7,
OF
1-1OTHER
1:1BLD.
ElPLMB.
MEC H: ElM.H.
E3POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION Source GAS 9LECT,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 gr ting of a per t does not presume
to give authority to violate or cancel the provisions of any other state or I ca law regulati constructor the
perform ce off -construction.
Plumbing
DATE / / / 9 SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE � OFFIC
ADDD VCrY r1D IeCHAnlrr
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
-71
DATE r
04* *9.00
*9.00 N
*9.00
A *a00
28202
08-27-79
-4 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-27,-79 28,1
*9.00a-