1979, 09-18 Permit: 79-4198 Heat Pump LAN NUMBER APPLICATION/PERMITPER�NU B R��
4.
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 11``44
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS Q4 * * 9.00
f LEGAL DESCRIPTION — SEE ATTACHED
1 OT R!BLOCK�SUBDIVISION R ARD
�L` * 900 i
PARCEL NUMBER/S
2. *9,O0
OWNER PHONE E * Q,0 Q U
3. C,Huc `T S S-7922
ADDRESS ZIP Required Set Backs in Feet 4 1 9,7 2
E 5704.. /6 ,. SPCA KAnJ 99.:204; North _SouthEast West 0 9— 1 8—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
a. A- 1 Ef1i Tn1C' 4 1 RiC "`? J- '2-96 / _ 2 6 4 7 9,
ADDRESS ` I y� , 1 ZIP >a��j Type Const. Occupancy Sprinklered
C..y J,. W EILC, S P_oKANE /.sCI15 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. r
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
s
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE .NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER
❑ BLD. I=1 PLMB. lg.MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8. 1(4!--:-;TALL. a- CAT Po)vg) --0(Ac-rwoRK
FEES COLLECTED
VALUATION Source GAS ELECTRIC 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
DATE SIGNATURE I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
7
SEPA o
I--
Planning U
— uU
d
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $ q 40
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / THIS Bf1ECOMES A PERMIT.
DATE OFP ��VPCT— 0 9 1 8 ('79
APIATT FOR ISSUANCE —