1979, 09-21 Permit: 79-4495 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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 per it does not presume
to give authority to violate or cancel the provisions of any other state or al law regula g construction or the
Plumbing
performce of construction,
a
DATE SIGNATURE Mech.
SP CIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
PERMIT NUMBER
DATE
04* *9.00
*9,00
* 0/,
E *0.;
449,4
09-21-7n
6.479.
TOTAL x9E;i
WHEN MACHINE VALIDATED IN TH
G ��� THIS O E A P RMIT.
nATF9' a/-7fnrFirioi 11
SPACE,
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
�
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
OWNER
PHQ�E
3.
ADDRESSZIP
Required Set Backs in Feet
.♦71�///// 1JL��
/
North South
East West
C RACTOR ?
PHON_L
Size of Parcel
Zone Classification
4'
,-
d-SisvS
A DRESS♦
J
ZIP
Type Const.
Occupancy
Sprinklered
O
I
❑Yes ❑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.
TYPE El NEW
1-1 ALT. 1:1AD'N.
❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
-1
❑ OTHER
BLD.
❑ PLMB. ❑ MECH:
❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8
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 per it does not presume
to give authority to violate or cancel the provisions of any other state or al law regula g construction or the
Plumbing
performce of construction,
a
DATE SIGNATURE Mech.
SP CIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
PERMIT NUMBER
DATE
04* *9.00
*9,00
* 0/,
E *0.;
449,4
09-21-7n
6.479.
TOTAL x9E;i
WHEN MACHINE VALIDATED IN TH
G ��� THIS O E A P RMIT.
nATF9' a/-7fnrFirioi 11
SPACE,