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1979, 08-13, Permit: 79-2049 Heat PumpP' AN 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 ADDRES 1. ©1 LEGAL DESCRIPTION — SEE ATTACHED LOT BLUCK S BDI ISION PARCEL NUMBER/S 3. r� ` s ADD SS ZIP Required Set Backs in Feet North South East West CONTRA T R PHONE Size of Parcel Zone Classification P�- 2 Basement Area Garage Area 4. ADD SS ZIP Type Const. Occupancy Sprinklered .Q Split Entry Split Level Rancher ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS P�- DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE El NEW ❑ALT. 11 AD'N, ❑ RPL. El MVE. No. Baths No, Floors No. Rooms Rec. Room 7, OF El BLD. ❑ PLMB. El OTHER KMECH: ElM.H. El POOL CERTIFICATE Req'd. Recd. Not Re( WORK' of EXEMPTION DESCRIBE WORK FEES COLLECTED 8. VALUATION Source G ELECTRIC WATER SEWER of 9. Utilities 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. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DATET T OFF ICIII Plan Check SEPA Mobile Home Other (Specify) �-S'i TOTAL $ MPERMIT NUMBER DATE? t/ q 04 *9.00 *9,00 *9,001 A *000 204.8 08-13-79 a 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 5 i ClI ;� C1 ci *9.0 �