1979, 11-16 Permit: 79-7966 Heat PumpPIAN 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 ADDRESS
t -L LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVIS ON PARCEL NUMBER/S
PERMIT NUMBE
�c
DATE
04* *9.00
*9.00 N
*9,006)
E *0.00
7965B
11-16-79
2 6479.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
PHONE
❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Req'd.
3.
7"
DESCRIB WORK
8. k _ 2(/ 2
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATERZ
AD15RESS
ZIP
Required Set Backs in Feet
I hereby certify that I have read and examined this application and have read the "NOTICE" luded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinag this
Building
North
South
East West
CO TRACTOR
PHONE
Size of Parcel
Mech.
Zone Classification
DEPT. REQ'D. RECD.
Plan Check
Env. Health
4.
ADDRRESSpS
ZIP
Type Cons7
Occupancy
Sprinklered
Other (Specify)
Utilities
TOTAL $<01
Zone Clearance
❑Yes ❑No ❑ Req'd.
WHEN MACHINE VALIDATED IN THIS SPACE,
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
PERMIT NUMBE
�c
DATE
04* *9.00
*9.00 N
*9,006)
E *0.00
7965B
11-16-79
2 6479.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
I
DESCRIB WORK
8. k _ 2(/ 2
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATERZ
of
9. Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" luded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinag this
Building
type of work will be complied with whether specified herein or not. The granting of a permitesumeto
give authority to violate or cancel the provisions of any other state or local law regulating cor the
performance of construction.
Plumbing
DATE 4f — ��Y` SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA i
Planning
Fire Marshall
c
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $<01
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
1'1'-'16 -79 7 9 6.6 z ,* 9.0 0 °�
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