1979, 08-23 Permit: 79-2693 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT M .,q_r,z 6,9'3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES •,; PR! SS HARD TO MAKE 4 COPIES * * 9,0 0
JOB ADDRESS
1.
S i[��/tt��J�f/� rJ-r LEGAL DESCRIPTION - SEE ATTACHED * 9.0 0 N
LOT BL�OCK� SUBDIVISION �D PARCEL NUMBER/S * 9.0 0 U
2. E * 0.00
OWNER �/1 P ONE �]
3. Hti Mg`3TEA'1) D " Z~074- Required Set Backs in Feet 2 6 9,G
ADDRESS /^� ZIP Required
/ O n r�
RT. 7A'PG' A13E 1W A _ 4, v 66 North 'South lEast 'West 0 8-2 3-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
A- I HERT i k- 4 At!f2icotJ� —958/ f f�4 7 9,
4. ADDRESS//� I �j �/yS /� IP MPJ Type Const. Occupancy Sprinklered
Gff, ` Wt1LE Jeoi<AtE W 9q€Vo Eves ❑No ❑ Req'd.
dESIGNER r I 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
TYPE ligt NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK I=1BLD. ❑ PLMB. MECH: El M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. f4%TALL T Tol>,1 Ems" piAtir vj4cr woRK
VALUATION Source GAS E ECTRIC WATER SEWER
of
9. Utilities I )004 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
Plumbing
performance of construction. e9."'DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
W
Planning U
Mobile Home z
Fire Marshall
Other (Specify)
Co. Engineer
Utilities �'
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
l:
THIS BECOMES A PERMIT.
SEPA Checklist �f '' z 2. * it O -
_" F F I C I A L ./ o�✓(it N'I_4_, I,,I 2 5 -7 9 , J . 9 i! 2 -
DATE
APPROVED FOR ISSUANCE -