1979, 11-05 Permit: 79-7274 Heat Pump PLAN NUMBER APPLICATION/PERMIT /v1
P RMIT NUMBE
�'l i+-1 ct _ 1 27 q
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ^/� �J
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /,/ //— /
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0,4 * * 9.00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED * 9.00
�,
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LOT BLOCK SUBDIVISION PARCEL NUMBER/S 727.3 2
2. (/�t
OWNER /(q11-4_, �HON•l,��7D 11 _p5979
3 6479.
ADDRESS ,, ZIP Required Set Backs in Feet
/ f .' North 'South East 'West
CO fi=C •R 4{�''�` P�jONE... Size of Parcel Zone Classification
•
4• •ES _ / / 7�p���� Type Const. Occupancy Sprinklered
/�j ❑Yes ❑No ❑ Req'd.
. ...0 ci
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. r
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 ❑ OTHER
WORK
1:1 BLD. ❑ PLMB. l�'MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WO,b2K
8 ��, /�aft
x_ ` . .) FEES COLLECTED
VALUATION "( . /�(. (Source { )SELECTRIC WATER SEWER
of
9. Utilities W 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 re. . ating construction or the
performance of construction. Plumbing
> / I Mech. o-®
DATE / — 7� SIGNATURE �� �A
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health o-
SEPAi
......1
Planning — Z
Mobile Home ">
Fire Marshall -=-
7.
Co. Engineer Other (Specify)
Utilities G,C3
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES[A PERMIT.7 (� 7q 6 *ri 1 f1 O I
DATE -. OFFICIAL 1 1 •�0 5 ' l '9 7 2 1. `i' , 7 U
APPROVED FOR ISSUANCE - i