1979, 09-12 Permit: 79-3840 Heat PumpPLAN NUMBER
't.
4
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
8 p DkK
FEES COLLECTED
DATE
PERMITNUMBER
'"- 38 40
04* *7.00
*7.00 15-
7. 0 0 7,00
A *a00
3839@
09-12-79
;R 6479.
VALUATION
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
ELECTRIC
JOB ADDRESS
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
,.
ILUs
of
Utilities
LOT 6LOCK
Single $
PARCEL NUMBER/S
2.
ISUBDIVISION
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
OWNER
PHONE
-MAO
W'
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
3.
Wit
performance of construction.
Plumbing
ADDRESS
DATE SIGNATURE—
ZIP
Required Set Backs in Feet
SPECIAL APPROVALS
57 S P
D a
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
V
Planning
4.
DRES
ADSr
Zi
Type Const.
Occupancy
Sprinklered
Fire Marshall
SPo 111)e
9,-209
❑Yes ❑No ❑ Req'd.
DESIG14ER
Utilities
PHONE
Valuation
Building Area in Sq. Ft.
5'
WHEN MACHINE VALIDATED IN THIS SPACE,
ADDRESS
t
THIS CO A EijiMIT.
R 4.0 Z
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 NEW ❑ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF
El BLD. 11 PLMB. Y-MECH: EI M. H.
❑ OTHER
El POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8 p DkK
FEES COLLECTED
DATE
PERMITNUMBER
'"- 38 40
04* *7.00
*7.00 15-
7. 0 0 7,00
A *a00
3839@
09-12-79
;R 6479.
VALUATION
Source GAS
ELECTRIC
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 local law regulating construction or the
performance of construction.
Plumbing
DATE SIGNATURE—
Mach. OD
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
_
TOTAL $ 111 60
------ss��---------
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist a
`� 12 79 0FFI
DATE OFFICIAL ^A ,w. ^^
THIS CO A EijiMIT.
R 4.0 Z
*7.00a r-