1979, 08-27 Permit: 79-2813 Heat PumpPLAN NUMBER
SPOKANE COUNTY - BUILDING
NORTH 811 JEFFERSON / SPOKAN
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COTITErn.,
' LOT
2.
OWNER
JOB ADDRESS q / / eL /f /
LEGAL DESCRIPTION — SEE ATTACHED
3
5.
BLOCK
SUBDIVI ION
PARCEL NUMBER/S
ADDRESS
at2p_ek.g.,w
G(/�
PHONE
•
CONT TOR
Aborts
G „7oy
DESIGNER
ZIP
PONE
PHONE
ADDRESS
ZIP
Required Set Backs In Feet
North 'South East 'West
Size of Parcel Zone Classification
Type Const. - Occupancy- - Sprinklered= -
❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
OWL Area I Basement Area r Garage Area Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
8.
9.
❑ NEW
❑ BLD.
DESCRIBE WOR
VALUATION
❑ ALT.
❑ PLMB.
Lir 0 RPL.
MECH. 0 M.H.
❑ MVE.
o POOL
0 OTHER
Source
of
Utilities
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
Req'd. .
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
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 Ios law regula ing construction or the
performgDce of construction.
DATE
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DAT
OFFI L 0.
APP FOR ISSUANCE
. Rec'd.
Not Req'd.
- FEES COLLECTED
Single $
Building
Plumbing,�)
Mech. ( - !Z
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
M'p
DATE O /2-7?
'79 - X8'3
04* *9.00
*9.00
*9.006
A -*000
281.22
08-27-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 8 --2'7 t7,9
28132 *9.00
o -J