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