HomeMy WebLinkAbout1979, 07-18 Permit: 79-624 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LOT
2.
BLOCK
SUBDIVISION
OWNER
ADDRESS
4.
CONTRACTOR
DESIGNER
5. ADDRESS
PHONE
..25/-4/3.22
ZI P
PHONE
7
ZI P
S7�S
PHONE
CHANGE OF USE FROM
6.
TO
ZI P
LEGAL 13ESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North
South East
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
Split Entry
West
Zone Classification
Sprinklered
Dyes ❑No 0 Req'd.
Building Area in Sq. Ft.
Basement Area Garage Area
Storage
Split Level
Rancher
TYPE
7. OF
WORK
0 NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
❑ BLD. ❑ PLMB. % MECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
VALUATION
9.
Source GA
of
Utilities
ELECTRIC
XX
WATER
SEWER
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
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 o loclaw regulatin cons ruction or the
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL r'.NDITIONS:
DATE 7-1.-7/ OFFICIAL
114-11�
1
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ / `�-
DATE
PERMIT NUMBER
6232
07-18-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-18-79 62,42
*9,O.Oa�