1979, 08-27 Permit: 79-2815 Heat PumpPLAN 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 LEGAL �j LEGAL DESCRIPTION — SEE ATTACHED
Com" • c /
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
OWNER
3.
ADDRESS
CONT
4. A DRESS
l
DESIGNER
5. ADDRESS
R
ZIP
Required Set Backs in Feet
North South East West
PHONE
Size of Parcel
Zone Classification
ZIP
Type Const. I
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
OWL Area
Basement Area
Garage Area
Storage
PERMIT NUMBER
DATE
04* *9.00
*9.00
*9.00
A *000
281.42
08-27-79
6,479.
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
No. Baths No. Floors
TYPE
❑ NEW 1:1 ALT. N. E3 RPL. ❑ MVE.
No. Rooms Rec. Room
7, OF 1-1 OTHER
❑ BLD. ❑ PLMB. MECH: ❑ M.H. E3 POOL CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
8
FEES COLLECTED
VALUATION Source GAS EMC —F ---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 gr ting of a pe it does not presume
to give authority to violate or cancel the provisions of any other state or c law regul ng construc on or the
performance of construction.
Plumbing �)
DATELK—� SIGNATURE
Uv
1 -
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 $ 1 "
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ��J/ /�_)�'] r
THIS BECOMES A PERMIT.
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DAT I?I "'R__L % OFFICIAL L.�""�
—
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...
*9.00°-1