1979, 08-27 Permit: 79-2831 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
DATE �
04* *9,00
*9.00
*9,00
A *a00
28302
08-27-79
6479,
VALUATION Source 6AS WATER SEWER
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Single $
JOB ADDRESS
✓
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
LEGAL DESCRIPTION — SEE ATTACHED
1.
to give authority to violate or cancel the provisions of any other state or loc I law regulating onstruction or the
forma%e of construction. /'>
Plumbing
LOT
BL CK
_
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PARCEL NUMBER/S
2.
Plan Check
I
ISUB131VISION
SEPA
Planning
OWP
Mobile Home
Co. Engineer
ON
Utilities
��
TOTAL $
Zone Clearance
'
3.
SEPA Checklist
THIS BECOMES A PERMIT.
08-27-7'9
DATE�� /YOFFICI C�-,�9
o? -- I
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTR R
PHONE
Size of Parcel
Zone Classification
�S S
4.
ADORES
;,
ZI
Type Const.
Occupancy
Sprinklered
"?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.
TYPE ❑ NEW ❑ ALT.
AD N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF,�,/,�`'
1:1 BLD. ❑ PLMB.
LJd'MECH: ❑ M.H.
❑ OTHER
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
42
of EXEMPTION
8.
DESCRIBE woRK
FEES COLLECTED
PERMIT NUMBER
DATE �
04* *9,00
*9.00
*9,00
A *a00
28302
08-27-79
6479,
VALUATION Source 6AS WATER SEWER
o,
f?LEC,RI
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 loc I law regulating onstruction or the
forma%e of construction. /'>
Plumbing
DATE SIGNATURE
_
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
'
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
08-27-7'9
DATE�� /YOFFICI C�-,�9
283.12 *9.00