1979, 08-27 Permit: 79-2849 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 ADDR S
1 C-.)— LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SU DIVISION PARCEL NUMBER/S
2.
OWNER
P E
"
3.
L
ADDRESS
ZIP
Required Set Backs in Feet
.�
J(
North South
East West
CONTRACT R
PHONE c"
Size of Marcel
Zone Classification
4'
ADDRESS
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE
FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW
❑ALT.
D'N. 1:1 RPL. El MVE.
7,
OF�/
11OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
El BLD. ❑ PLMB. L�lMECH: ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK �"
8 6 � _ FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities Single $
1 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 al law recidelating construction or the
perform >of construction. Plumbing
DATE < - SIGNATUREA
Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
�OFF1
7777 1117 Inn inns In ei 1
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
DATE Ja
04* *9.00
*9,000-11
*9,00
A * 0.00 S
28482
08-27-79
6479.
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
0 0 - 2 / -7
7 n
289 *9,OOa