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1979, 12-26 Permit: 79-9479 Heat PumpPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB AD b,. 1. 9902 14o1 oNAn LEGAL DESCRIPTION - SEE ATTACHED 2. 3. LOT BLOCK SUBDIVISION OWNER. I.Nvw [ Mrs- 1'Vf A\C1,01 (t ev, ONE PARCEL NUMBER/S ADDREStrt ZIP Required Set Backs in Feet North 'South East 'West CON ACTOR �Ct i (� Q. AD RESS v�Vr vµ..t b . „ a ©4 DESIGNER 5. PHONE Sas X45 Size of Parcel 1 Zone Classification Rao'7 Type Const. Occupancy Sprinklered ❑Yes ONO 0 Req'd. PHONE Valuation 1 Building Area in Sq. Ft. ADDRESS ZIP DWL Area I Basement Area r Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Split Entry Split Level Rancher ❑ NEW ❑ BLD. ❑ ALT. PLMB. 4y AD N. 0 RPL. ("MECH: 0 M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Re 'd. Not Req'd. DESCRI Pr£lyO fjK 8. VALUATION 9. J CO Source GAS o Utilities ,ELECTRIC WATER SEWER I hereby certify that I have read and examined this appllca ion 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. DATE is -i "-'I9 DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist ' FEES COLLECTED Single $ Building Plumbing 4300 L7 Mech. �'O Plan Check SEPA Mobile Home Other (Specify) TOTAL $ Cte° DATE PERMIT NUMBER —7, 717, /a- /7-79 04* *9.00 *9.00 N *9.006 B *000 0 947.83 12-26-79 3 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 12.c-2'6. 7'91 9'47.95 *.9,0i041.g