1979, 12-17 Permit: 79-9182 Heat Pump PLAN NUMBER 0 APPLICATION/PERMIT „ n PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENTv ` ,� 106
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /( — —1
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * *'9.0 0
JOB DRESS
(�//�� IV/ LEGAL DESCRIPTION - SEE ATTACHED * 9,0 0
1 LOT -BL5CK oSUBDIVISION PAi'2CEL N4MBER/S *9,0 O v
2.
OWNER rra P ON E * 0 0 0 U
3. l� r• 0 d r'S ...JO lui y, 9. 9 1 8, 1
ADDRESS ZIP Required Set Backs in Feet
IRQ.,- North 'South East 'West 1 2- 1 7-7 9
CONTRACTORh PHONE Size of Parcel Zone Classification
4. Sr 127) /4e_ i-I IV Cr ;�Ve‘C ,5.`�45_ , 2 6 4 7 9:
ADDRESS!� Zy�R/ Type Const. Occupancy Sprinklered
b . 404
/ Y-.c_ ! 9 o'7 ❑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 No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. El
PLMB. ECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
8. DES WORKQ4, — /1
/`f"''(.U1-A-R-,v) FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of 'n/\I/
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 r•sulating construction or the
performance of construction. Plumbing
3.00
�i-ab-19 _ • 'k j
DATE SIGNATURE di.` /- ' Mech. (.0.0°
SPECIAL APPROVALS SPECIA CO DITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA
Dlannin. U
0
Fire Marshall Mobile Home c,
Co. Engineer Other (Specify)) .c�
Utilities TOTAL $ 1•VO
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist // THIS BECOMES A QEISJVIIT. j p 0 o *9, 0 .QT_
DATE/. J/7/79OFFICIAL C(sy�.� ,, �- 2 I—i1 7 —'E i' , T '
APPROVED FOR ISSUANCE 1 —