1979, 08-27 Permit: 79-2863 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
11SPOKANE COUNTY — BUILDING CODES DEPARTMENT (// (7/ - rid
pip
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE `' / — //
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
0 4 * * 9.O O
JOB ADDRESS
1. C-"; 7-3437d LEGAL DESCRIPTION — SEE ATTACHED * 9,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9.O O U
2.
OWNER -s��I.K-moi" L �J��L' / A * O,O O
3. 'tel 6 cpU
ADDRESS 1PPP /_ Required Set Backs in Feet 2 8 2 2
_ /}�0'4 - . 27. 6 North 'South East (West 0 8—2 7—7 9
CO NT RAC _/, `�— ,_, 4 PHONE Size of Parcel Zone Classification
�y / 5'5j B 6479.
4' ACDJ�KESS ti / ZI Type Const. Occupancy Sprinklered
,
.. lo"/. /- / 7f 2O7 Eyes ❑No ❑ Req'd.
DESIGNER HONE 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. V./A/ITN. ❑ RPL. ❑ MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH: ElM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK tel)
$ L/��C(yR FEES COLLECTED
VALUATION Source GA „� 1 IC 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 I,.cal law re• lating cont ction or the
performance of co struction. Plumbing
DATE f / 7, SIGNATURE AimPVIA- i Mech. 7 ej-Z)
SPECIAL APPROVALS SPECIAL CONDITIONS: /
DEPT. REQ'D. REC'D. Plan Check
Env. Health (,-
SEPA R
c)
d
Planning — 1
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities ei`D/�
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist . THISUICO 7A, MIT.
DATE �/ OFFICI` 2 8 6. 7 * 9.
O O 0 f
APPROVED—F0' ISSUANCE —