1979, 08-09 Permit: 79-1902 Heat Pump PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �/C
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE I- 6- l /
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 9.0 0
JOB/AD R s `/j''' LEGAL DESCRIPTION - SEE ATTACHED * 9.0 0 co
1 L�T BLOCK SUBDIVISION I6ARCEL NUMBER/S *
9.00
2. 77 LL�jJ� Q'
Of A/
OWNER � C.G �CXiCi P E A * O.0 0
ED
3• - 190, 1 $
ADD ESS ZIP Required Set Backs in Feet o
North (South 1East (West 0 8—0 9—7 9
CONTRA PHONE Size of Parcel Zone Classification
4. � ` I- .1(25--16-- B 6479.
ADDRESS -- �e2/ / ZIP Type Const. Occupancy Sprinklered
�9 ' ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area r 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. ,,��D'N. LI RPL. CI MVE.
7 WORK 111 OF -
BLD. CI PLMB. U�MECH: [=I M.H. I=1 POOL El OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. FEES COLLECTED
VALUATION Source AS ELECTRIC WATER SEWER
of y/)
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 lo aw regulatin• construction or the
performance of construction. Plumbing
DATE �' — SIGNATURE < 4��/r Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
c
SEPA 'p
I--
c�
Planning w
— rL
Fire Marshall Mobile Home �n
Co. Engineer Other (Specify)
Utilities TOTAL $ �r}-- �
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist �� q , THIS BECOMES A PE�iMIT. —
DATE / f/ OFFI •L c.�-.v� J _ U s / -_ '�. C * 9, I,J J a I-
APPRII . 0 FOR ISSUANCE