1979, 07-31 Permit: 79-1284 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 79 [2,9 4-
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 * 9.00 w
5 ,. 4-!C`QC�O U)� r•(i P,( LEGAL DESCRIPTION — SEE ATTACHED * 9.0 0
1. { '
LOT BL CK SUBDIVISION PARCEL NUMBER/S
2. A p * 0,00 8
3. OWNER (1 /! W�f PHONE .
gaU~65 1 2 0.3 2
ADDRESS ZIP Required Set Backs in Feet
5, , 6 ! , 1 A_Ll P� I I 07-31 —79
`tet" C� North South East West
C TR CTOR PHONE Size of Parcel Zone Classification 6 4 7 9.
, �� (,(tea 3q.- c
4 ZIP Type Const. Occupancy Sprinklered
RE� Cry / ❑Yes ❑No ❑ Req'd.
DESIGNER f/l\Cj//�� PHONE Valuation Building Area in Sq. Ft.
5 ADDRESS 04- 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. II,AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. D PLMB. lif MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOf _t
8 l 61U iii I Pui)tp- Octuk
LQA ) ln.61n46 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities r 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
performan e of construction. Plumbing
DATE SIGNATURE 1L........1..../_...�;— ri i'- 4.—.1 /A lE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning w
rL
Mobile Home
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities gf/Ct
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. p [� * 9. 002
DATE-7721(771 OFFICI• O ! - 3 1 _ 7 7 ( 2 0' 4 Z i-
APPR0V.R_,60R ISSUANCE