1979, 08-27 Permit: 79-2827 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
11
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �1 � �� 2-'7NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE — / //]9
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS2" 0 4 * * 9,0 0
/ j/ �1. �l1� �` i
REGAL DESCRIPTION — SEE ATTACHED * 9,0 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9.O O u
2.
OWNER PHONE A *0 0
3
ADDRESS _ /��'ZIP�/ �� Required Set Backs in Feet 2 8 2 6 2
(]am�,��, North 'South East (West 0 8—2 7—7 9
CONTRACT'6R P ONE 51:5....- Size of Parcel Zone Classification0. Ja5� ac 6.479.
4' ADDRESS ZIP%/�// Type Const. Occupancy Sprinklered
�O� /.,G���ete i < /�0� ❑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.
No. Baths No. Floors No. Rooms Rec. Room
TYPE
❑ NEW ❑ ALT. I1 D'N. ❑ RPL. ❑ MVE.
7, OFElOTHER -
WORK CIBLD. ❑ PLMB. 0Q MECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR
8 L FEES COLLECTED
VALUATION (I� C Source ELECTRIC WATER SEWER
of
�
9. 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 cal law regulatini onstruction sr the
performa ce of construction.J
' ct
Plumbing
DATE
//— ! / SIGNATURE .^// Ak / . Mech. �49e,
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
cc
SEPA o
Planning - LJ
a_
Mobile Home v)
Fire Marshall z
Co. Engineer Other(Specify)
Utilitiesrev
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist -r THIS BECOMES A PERMIT.
U 7 - 7 8 2. 7
*9. O O `,3,_ 17-'DATE°' <2 OFFICIA 4� -`__v.._Th
APPROV 0 ISSUANCE —