1979, 12-07 Permit: 79-8808 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SS
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �� $��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRES HARD TO MAKE 4 COPIES
• Oft * * 9.00
JOB ADDRESS1. //qV'�J^ ' , /6
LEGAL DESCRIPTION - SEE ATTACHED * 9, 0 0 u)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9 O 0 U
2.
OWNER ���'-�/////////yyy/��`/{/,,,///���))) 5piLL
PHONE f �7 * O03ADDRESS1� • CJr! � Required Set Backs in Feet 8 8 0
� /' � North 'South East (West 1 2-0 7=7 9
CONT CT//OR
IEWeali
/ � ; ��,/ PHONESize of Parcel Zone Classificationa�CC �tLL 3e-5 O 479,
4. D ESS "� /SIC i� ZIPyn ` Type Const. Occupancy Sprinklered
f3„L,[� / Lv� /9rQ/ ❑Yes ❑No ❑ Req'd.
DESIGNER tel" / l.� 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. VPAD'N. ❑ RPL. 0 MVE.
7. OF ,��rr ❑ OTHER -- - CERTIFICATE
WORK ❑ BLD. ❑ PLMB. (t,[1,MECH: ❑ M.H. 0 POOL Req'd. Rec'd. Not Req'd.
�j� /J TT //./.�'/� of EXEMPTION
DESCRBE,WORO (' / { f / 4� p
8 /()�/jRIB„/J /[` FEES COLLECTED
VAL ATION Source GA ELECTRIC WATER SEWER
of xi�-�y
Single $
9. Utilities —
/
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
performance f co struction. ��ef5/1jj Plumbing C��/�
DATE '3 SIGNATURE +l.�L.� Mech. / t-V
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health #17/0
OW duk& r -.6
SEPA
Planning — {{j
1_
Mobile Home cn
Fire Marshall r
Co. Engineer Other (Specify)
Utilities TOTAL $ 96°
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist4 THIS BCOM,F,,S,A PEpMIT. `l , ri ` ° F,
DATE /-77OFFICIAL / '-"�/ -,.
APPROVED FOR ISSUANCE _