1979, 11-15 Permit: 79-7842 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
1. & I _ I 0 1G �i I r u Q r, - LEGAL DESCRIPTION — SEE ATTACHED
OWNE
3.
ADDRESS
CONTRA
4. ADDRESSy
DESIGNER
5. ADDRESS
R
CHANGE OF USE FROM ITO
6.
PHONE
aaw_
ZIP
PHONE
ZIPI
v�
PHONE
ZIP
I YPE ❑ NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
% OF BLD. ❑ PLMB. ElMECH: E)M.H. ❑ POOL El OTHER
WORK ❑
DESCRIBE WORK
8.
North ISouth
Size of Parcel
Type Coniq Occupancy
Valuation
DWL Area Basement Area
Split Entry Split
No. Baths No. Floors
CERTIFICATE
of EXEMPTION
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area Storage
.evel Rancher
No. Rooms I Rec. Room
Req'tl. I Recd. Not Rei
FEES COLLECTED
PERMIT NUMBER
Meq-`l��
DATE
04* *9,00
*9.00 �
*9.006
E *000 8
78&18
11-15-79
2 6479,
VALUATrON Source GAS
of
9. Utilities
ELECTRIC
–'WATER
SEWER
_
Single $
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
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 local law regulating construction or the
performance of construction.
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
a
SEPA
Planning
_
U
O
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $�_
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS B COM A PMIT.
Il
Oz
- TV
7 8 4 2
* 9. 0 0.O -1
DATE OFFICIAL