HomeMy WebLinkAbout1979, 08-17 Permit: 79-2833 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
LOT
2.
BLOCK ISUBDIVI ION l/t J�
LEGAL DESCRIPTION - SEE ATTACHED
4.
OWNER
ADDRESS
CONTRACTOR
ADDRE
a0
ays7cS
PIjONE
ZI P
P!ONE
•' - 60 4j
PARCEL NUMBER/S .
Required Set Backs in Feet
North (South
Size of Parcel
Type Const.
Occupancy
East
West
Zone Classification
Sprinklered
CVes CNo 0 Req'd.
DESIGNER
6' ADDRESS
PHONE
Valuation
•
Building Area In Sq. Ft.
ZIP
DWL Area
Basement Area Garage Plea
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
8.
9.
O NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT. N. 0 RPL. 0 MVE.
O PLMB. 1eMECH.
0 M.H. 0 POOL
Source
of
Utilities
5
0 OTHER
ELECTRIC
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE -
of EXEMPTION
SEWER
1 hereby certify that I have read and examined this applica ion and.have read the "NOTICE:'.provisions included
on reverse side, and know the same to be true and correc . All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The gra ng of a permit does not presume
to give authority to violate or cancel the provisions of any other state ogcal aw regula ' g construction or the
performance of construction. r I _ _
.DATE --117-97
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
' Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: - •
DAT
V -FOR ISSUANCE
Req'd.
Rec'd.
Not Req'd.
FEES COLLECTED -
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
-79 -20
04* *900
*9.00 Li
*9.006
A *000 0
28322
08-27=7.9
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
TH ISdICOI)(I /.2 A.RE,fiM 1T. 2 8 5,13 Z
*9,00°