1979, 11-06 Permit: 79-7350 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT Q _ 3c-7)
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS U * * 9.O Q
r / LEGAL DESCRIPTION — SEE ATTACHED �-
,. 5 1 �� , ,r r'� -�, * 9.oa co
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 7 3 4,9
2.
OWNER PHONE 1 1 —0 6 7 9
ADDRESS ZIP Required Set Backs in Feet 6.4 7 9
a...'7'0North 'South East (West
CONTRACTOR %! yO�N�EE t�C� Size of Parcel Zone Classification
ADDRESS4.
/ f-� i J- ZIP Type Const. Occupancy Sprinklered
Y- c 5-7 r---e "�'l„ r ❑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. ISMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE W RKi-
8. FEES COLLECTED
VALUATIO 4- or* 17--,-,...t.e, ,-) ti a 1 i(--."1-c-c---r-,-,(vi Source GAS EDECTRIC 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 local law regulating construction or the
performance of construction.
Plumbing
G/r G ..
DATE SIGNATURE Mech. /
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA o
Planning
U
— w
Fire Marshall
Mobile Home Cl)
Co. Engineer Other (Specify)
Utilities
TOTAL $ q
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'7 [� r. r C' I
DATE OFFICIAL 111— 0 6 -7'/ 5'`� C? •* O.tri
0 Vii_ r
APPROVED FOR ISSUANCE _