1979, 09-12 Permit: 79-3842 Heat Pump I1PILAN NUMBER APPLICATION/PERMIT
NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
r! NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * * 9.00
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. i1RLAN4p * 9,0 0 3
LO BLOCK SUBDIVISTUN PARCEL NUMBER/S
2.
* 9,00
OWNER PHONE A * 0, 0 0 Oo
3. -M EnfERPRISES 9014-Sa7.2
ADDRESS f ZIP q / Required Set Backs in Feet 3 8 Q, 1 $
E14.// S PRF LLE SPO(` Ak)E 19;10 p North (SouthEast (West 0 n- 2 7 n
CONTRACTOR PHONE Size of Parcel Zone Classification Y Y
A- J HERTZ AJa ii il IR comp 4-e17-951?! 2 6 4 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E . Wei
99:200 ❑Yes ❑No ❑ Req'd.
DE IGNER 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. ❑ AD'N. ❑ RPL. 0 MVE.
7, OF 0 OTHER
WORK ❑ BLD. 0 PLMB. $ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. INSTALL. NEAT Pt-4 tit P 4TD‘Ac:r- N.4 oR K FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of v
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 local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
2
SEPA ci
1.—
Planning -
Planning _ w
4
Mobile Home rn
Fire Marshall —
Co. Engineer Other (Specify)
Utilities
TOTAL $ qi did
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist iiiii , , P THIS BECOMES A PERMIT.
s�,_ 09 - 12'-79 3A 20 * J
DATE OFFICIAL a 4 L 9, ;n J ad i
APPROVEHM ISSUANCE _