1979, 12-04 Permit: M79-8671 Heat PumpPLAN NUMBER - APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS H! ^D TO MAKE 4 COPIES
JOB AD RESS r. --r
1.3109" �% o�J LEGAL DESCRIPTION -SEE ATTACHED
LO BLOCK SUBDI ISION PARCEL NUMBER/S
OWNER
3.
ADDRESS
CONTR I
4. ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
/�Nllm
PHONE
ZIP
P ONE
Z �U
PHONE
ZIP
I YPE ❑ NEW ❑ ALT.AD'N. ❑ RPL. ❑ MVE.
OF
7 WORK 11BLD. ElPLMB. MECH: ElM.H. F-1POOL El OTHER
equired Set Backs in Feet
FEES COLLECTED
orth South
East West
ize of Parcel
Zone Classification
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Type Const.
Occupancy
Sprinklered
to give authority to violate or cancel the provisions of any other sta or local law regulating construction or the
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DATE SIGNATURE
Mech.
OWL Area
Basement Area
Garage Area
Storage
DEPT. REQ'D. RECD.
Plan Check
Env. Health
Split Entry
Split Level
Rancher
Planning
Fire Marshall
Mobile Home
No. Baths
No. Floors
No. Rooms
Rec. Room
TOTAL $ Oo
CERTIFICATE
Req'd.
I Recd.
Not Re
of EXEMPTION
8. D CRIBE WO WV -4 `l,?V r3TF4091
FEES COLLECTED
VALUATION Source GAS RIC WATER SEWER
of (j��
9. utilities
Single $
1 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 sta or local law regulating construction or the
performance of construction.
Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPEC IA O DITIONS:
�1^
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $ Oo
Zone Clearance
Checklist
WHEN MACHINE VALIDA7
/��l� �� THIS BECOMES A PERMIT.
DATE& x 71 OFFICIAL 12 :- 0 4 7 9
PERMIT NUMBER -- M
DATE
*9.00
*9.00
*9,00
E * 0 r,
8671
12-04-79
2 61479,
> SPACE,
8'6Z2z