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1979, 08-16 Permit: 79-2363 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 ADURE 2. LOT B SUBDl?fON /4e" LEGAL DESCRIPTION - SEE ATTACHED P V/Ss/S ZIP P ONE PARCEL NUMBER/S Required Set Backs in Feet North !South East (West Size of Parcel - Zone Classification ' A13DRESS F ao DESIGNER ZI Type Con Occupancy Sprinklered Oyes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP OWL Are Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 0 NEW 7. OF WORK BLD. 8 0 ALT. /AD N. 0 RPL. 0 MVE. E/A ❑ PLMB. MECH. 0 M.H. 0 POOL DESCRIBE WORK /4sre 0 OTHER No. Baths No. Floo No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. VALUATION 9. Source of Utilities A8 G ELLE IC WATER SEWER 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume tope give authorityto violate or cancel the provisions of any other state or law reg constructionthe perform(/a nceof construction. /y DATF/ SIGNATURE DEPT. SPECIAL APPROVALS . REQ'D. RECO. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DAT 16 O APPROVED FOR ISSUANCE r FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 9� DATE r/ S- 9 - 77 PERMIT NUMBER 04 9.00 •9.00 I *9,008 A .•Q00 8 2362 08-16-79 B 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08-1161—.79 236,31 ic9,00'U _ 0 C-) LU0- Z