1979, 09-10 Permit: 79-3671 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUA I IUN Source AS ELECTRIC WATER SEWER
of 6/�/
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 granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or to aw regulati constructio or the
performance foff construction. r Plumbing
DATE ��17 — / /tiSIGNATURE Lam/17 Mech. ' v�
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Plan Check
SEPA
PERMIT NUMBER
.3& 71
DATE Z CL'
04* *9.00
*9,00
*9.0061
E *000 00
367,08
09-10-79
2 6479,
Mobile Home
Other (Specify)
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
�✓/�"'7GJ R��Z,E /J THIS BECOMES A PERMIT.
C/�i �Jl. } ,7 it l
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*9.0n--
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1.
JOB ADDRESS
i ��
y4e���
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
OWNE
��
3.
D
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTRA-VUe
PHONE
Size of Parcel
Zone Classification
4'
AD RESS
ZI
Type Const.
Occupancy
Sprinklered
Q
w�
�V
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Areal
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW
ElALT. AD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF❑OTHER
WORK El BLD.
ElP B. MECH; ❑ M.H.
❑POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
of EXEMPTION
8.
DESCRIBE WORK
,
� �i„ :rt fy�
�
FEES COLLECTED
VALUA I IUN Source AS ELECTRIC WATER SEWER
of 6/�/
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 granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or to aw regulati constructio or the
performance foff construction. r Plumbing
DATE ��17 — / /tiSIGNATURE Lam/17 Mech. ' v�
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Plan Check
SEPA
PERMIT NUMBER
.3& 71
DATE Z CL'
04* *9.00
*9,00
*9.0061
E *000 00
367,08
09-10-79
2 6479,
Mobile Home
Other (Specify)
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
�✓/�"'7GJ R��Z,E /J THIS BECOMES A PERMIT.
C/�i �Jl. } ,7 it l
nnTF •
*9.0n--
i