1979, 12-04 Permit: 79-8670 Heat PumpPLAN NUMBER
JOB ADDR
d
LOT I Bl
2.
OW R
s. r.
ADDRESS
CONTRAC
4.
DESIGNER
5. ADDRESS
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
LEGAL DESCRIPTION — SEE ATTACHED
s,
i n n A I PAO N
CHANGE OF USE FROM ITO
6.
ZIP
TYPE ❑ NEW ❑ ALT. IX AD'N. ❑ RPL. ❑ MVE.
7 WORK ElBLD. 1-1PLMB. V MECH: ❑ M.H. El POOL
13 OTHER
Split Entry
No. Baths
CERTIFIC
iouth
ZI
Required Set E
Zone Classification
VALUATION
Source
Occupancy
Sprinklered
North
p
PHONE
Size of Parcel
Basement Area
Garage Area
Storage
Type Const.
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
P ONE
Valuation
CHANGE OF USE FROM ITO
6.
ZIP
TYPE ❑ NEW ❑ ALT. IX AD'N. ❑ RPL. ❑ MVE.
7 WORK ElBLD. 1-1PLMB. V MECH: ❑ M.H. El POOL
13 OTHER
Split Entry
No. Baths
CERTIFIC
iouth
East IWest
FEES COLLECTED
8.
Zone Classification
VALUATION
Source
Occupancy
Sprinklered
WATER
❑Yes [-]No ❑ Req'd.
9.
Building Area in Sq. Ft.
Basement Area
Garage Area
Storage
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Split Level
Rancher
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
No. Floors
No. Rooms
Rec. Room
_ Mech. S
ATE I
Req'd.
I Recd.
Not Rec
of EXEMPTION
PER��V
MIT NUMSR lv
DATE /1- 29-19
04* *9.00
*9.00
*9.0061
E *000
86619;
12-04-79
;F 6479,
DES BE WOFjK
�
FEES COLLECTED
8.
VALUATION
Source
GASCTRIC
WATER
SEWER
9.
of
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
1/- q-�9 ��CI,p
DATE SIGNATURE
_ Mech. S
SPECIAL APPROVALS SPECIAL CONDITIONS:
\
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities _
TOTAL $ �(J
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS AP7EjRMIT.
11BECOMEnS
1 0 4 / i
12:
7
;.; 6 1, iU -G �. �. U a-I -
DATC�� OFFICIAL
-