1979, 08-09 Permit: 79-1914 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 ADDRESS
,��— LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2. _ _
OWNER
3. / k
ADDRESS
CONTRAC O
4. ADDR --,203
DESIGNER
r_
- ADDRESS
CHANGE OF USE FROM TO
6.
.l'ffilM� i
I vrt ❑ NEW ❑ ALT. aAD'N. ❑ RPL. ❑ MVE.
7 ❑ PLMB. 2 MECH: ElM.H. ElElPOOL OTHER
WORK 1:1 131-6.
DESCRIBE WORK
8.
equired Set Backs in Feet
Source
of
Utilities
Orth South
East West
ize of Parcel
Zone Classification
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
I
aluation
Building Area in Sq. Ft.
DATA SIGNATURE-Mech.
DWL Area
Basement Area
Garage Area
Storage
DEPT. REQ'D. RECD. Plan Check
Env. Health
Split Entry
Split Level
Rancher
Planning
Fire Marshall Mobile Home
No. Baths
No. Floors
No. Rooms
Rec. Room
TOTAL $
Zone Clearance
CERTIFICATE
Req'd.
I Recd.
Not Rei
of EXEMPTION
FEES COLLECTED
PERMIT
NUMBER
DATE _f7
04* *9.00
*9,00 N
*9.006
A *0,00
1 91.38
08-09-79
2 6479.
VALUATION
9.
Source
of
Utilities
GAS
ECT IC
WATER
SEWER
Single $
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 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 I al law regul ting construction or the
performanceof construction. Plumbing
DATA SIGNATURE-Mech.
-1-7
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
SEPA Checklist_,
DATE � OFFJ.CJC O - /