1979, 08-09 Permit: 79-1898 Heat PumpPLAN 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 AW/� LEGAL DESCRIPTION — SEE ATTACHED
�.
LOT BLOCK BDIVIS PARCEL NUMBER/S
2.
OWNER PH NE
3.
ADDRE Zip lRequired Set Backs in Feet
8.
CONTRA
VALUATION
Source
of
PHONE
Size of Parcel
Zone Classification
SEWER
9.
Utilities
�`}}��CC.//
4.
AD RESS
ZIPType
Const.
Occupancy
Sprinklered
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
r
to give authority to violate or cancel the provisions of any other state o cal law regal ing construction or the
❑Yes ❑No ❑ Req'd.
performance% of construction.
DESIGNER
PHONEValuation
Mech. '
Building Area in Sq. Ft.
SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
ADDRESS
SEPA
ZIPDWL
I
Area
Basement Area
Garage Area
Storage
Mobile Home
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE ❑NEW ❑ALT.
�/No.
LI AD'N.
❑ RPL. ❑ MVE.7,
Baths
No. Floors
No.Rooms
Rec. Room
OF
❑
CERTIFICATE
Req'd.
Recd.
Not Re
_/
❑ BLD. ❑ PLMB. MECH: ❑ M.H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK
-117
FEES COLLECTED
8.
VALUATION
Source
of
GAS,
WATER
SEWER
9.
Utilities
�`}}��CC.//
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 o cal law regal ing construction or the
performance% of construction.
Plumbing
DATE lD/ SIGNATURE
Mech. '
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
k
„
DATE ` / OFFIAL
DATE
/t 1PERMIT NUMBER
-7 � - 1 g J
04* *9,00
*9.00 N
*9.00v
A *000
1 89.78
08-09-79
;? 6.479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THISffO AMIT.
--Ri' _ 9.
*9,00 O _