1979, 08-09 Permit: 79-1894 Heat Pump PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER (
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �f��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-36751-e---1a / 9
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
�S HARD TO MAKE 4 COPIES 0 4 * * 9.0 0
1 JOB ADD Ess // --
1.
- LEGAL DESCRIPTION - SEE ATTACHED * 9.U 0 u)
LOT BLOCK!(SUBDIVISION PARCEL NUMBER/S * 9.0 0
2. A
OWN PHONE * 0.00 U
3• �� 189,32
ADDRESS ZIP Required Set Backs in Feet
North 'SouthEast (west 0 8—0 9—7 9
CONT' •,/TOR — — PHONE_ � // Size of Parcel Zone Classification
/
.�fl'" ow i 'i �aS r�` 2 6,479.
4. •O RESS,—, / / ,' Z Type Const. Occupancy Sprinklered
CC `� /� GCS— �! 0i� ❑Yes ❑No ❑ Req'd.
DESIGNER )J�' 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 ��' El OTHER
WORK
I=1 BLD. I=1 PLMB. l I ECH: CI M.H. 1:1 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. a. FEES COLLECTED
VALUATION Source GIA-S776)
LECT 2 C 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 ocal law re lating construction or the
performs ce of construction. ' / Plumbing
may- -f
DATE SIGNATURE !� Mech. / -- /
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
L')
SEPA P
Planning Es
UJ
- 2
Fire Marshall
Mobile Home �'
Co. Engineer Other (Specify)
Utilities 7.4/
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / �, i ,! THIS BECOMES A(�PERMIT.7 (� !� /�
DATE �9 OFF' AL C..J._,"�s O 0 O 7 ( 7 .L 7. `t *9 O 0
«! APPROXI 0 FOR ISSUANCE