1979, 12-03 Permit: 79-8580 Heat Pump PLAN NUMBER APPLICATION/PERMIT friPERMIT NUMBER
SPOKANE COUNTY - BUILDING'.CODES DEPARTMENT / J`� gsgo
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE !/—/ °
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 9.0 0
JOB ADDRESS
�` LEGAL DESCRIPTION - SEE ATTACHED * 9.0 0 N
1. 111)4.4}41°V1
LOT BLOC SUBDIVISION PARCEL NUMBER/S * 9.0 0
2. pp
OWNER.° 1 PHONE * O,0 0 S
3. TO�Ml L;iA.%- qtJ q 'i-3cgc 857.78
ADDRESS ZIP Required Set Backs in Feet
IVY North 'South East (west 1 2-0 3-7 9
CONTRA OR I/ g� C P NE `\^�Q, Size of Parcel Zone Classification
AA RT�'A�'� t/v 4grq�J 1 is 6 4 7 9,
4'
ADDRESS
y ^b-,�,3j� �Ll3�. � � Type Const. Occupancy Sprinklered
'`v 'v ❑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. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF / ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH: El M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION t
DESCRIBE(✓VRCK �� U 1z_
8. I �� Sq
ctchl isitem- U3 FEES COLLECTED
VALUATION Source GAS 1. ELECTRI WATER SEWER
ofi
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 const-uction or the
performance of construction. Plumbing
i .,f �-
DATE '`' I(���Q SIGNATURE
11,0
OMech.
SPECIAL APPROVALS SPECIAL CONDI I DNS:
DEPT. REQ'D. RECD. Plan Check
Env.Health
4' /• 00- Lf-\.1 .
SEPA
C
—
Planning 1-
4
r a
Fire Marshall 1 Mobile Home v
Co. Engineer /;{/ Other(Specify)
Utilities 3 V I�„ E lech ,j'i/-i ,' i
// TOTAL $ `..,
Zone Clearance E C 1 i 41 Cl(kl �r �(� l� WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistTHIS BECOMES A PERMIT.
7 �/ /
DATE `j /cf OFFICIAL-ka-il-i. - '...� -4., (A.,- 1 L L. r 5.-7'9 C1 '5'8, 0 * 9. 0 0 fl f
APPROVED FOR ISSUANCE _