1979, 11-13 Permit: 79-7685 Heat Pump PLAN NUMBER APPLICATION/PERMIT 1/ V Jp PERMIT NUMBER b5
` 5
SPOKANE COUNTY - BUILDING CODES DEPARTMENT /�l
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE ( i! 17_
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * * 9,00
1 JOB ADDRESS 0/ L , J ie , _
�- ;/j/// ��jj"�L�_ I--!! EGA^L DESCRIPTION - SEE ATTACHED * 9,0 0
LOT BLOCK SUBDIVISIONlPARCEL NUMBER/S * 9 0 0 v
2 OWNER PION - B * O O OV
3 53g- z
ADDRESS ZIP Required Set Backs in Feet 7 6 8t'1
�: North 'South East (West 1 1 - 1 3-7 9
CO CTOR PHONE Size of Parcel Zone Classification
4' ,4,eifzeie: ko4,d, . „7,R. ---cisz)5.•ADDRESS //
�' A--
ZI �/7 Type Const. Occupancy Sprinklered
/�/y Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW 0 ALT. ZAD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/} of EXEMPTION
8 ,pis R��WORK��, a iayt i. a.,/ e — FEES COLLECTED
VAL ATION Source GAS ELECTRIC WFTER SEWER
of
9. Utilities X
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 I. al law regulatin, onstruction or the
performance of construction. — Plumbing )
DATE// 7-- 7/ SIGNATURE Ail I►3 "�✓��` Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health ce
SEPA I-
Planning — w
a_
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities
TOTAL $ /
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. O
DATE OFFICIAL 1 1 -15 _7 " 7 6 8. 5 6 9.O O a
APPROVED FOR ISSUANCE _