1979, 08-30 Permit: 79-3180 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
i
PERMIT NUMBER
DATE
04* *9.00
*9.00 N
*9.0061
A *0.00 CO)
317.9
08-30-79
;F 0479,
VALUATION
9.
Source
of
Utilities
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
WATER
JOB ADDRESS
f' -
/„
LEGAL DESCRIPTION SEE ATTACHED
1.
type of work will be complied with whether specified herein or not. The granting of a permi -does not presume
---
to give authority to violate or cancel the provisions of any other state or a law regulatin onstruction or the
—
performance of construction. Plumbing
LOT
BLOCK
SU IV ON
DATE r7q�ICXC SIGNATURE Mech.
PARCEL NUMBER/S
2.
I
Env. Health
SEPA
OWNER
Planning
,,Z .
PHQNE _
Co. Engineer Other (Specify)
�7
Utilities D(J
rl�' " y` f {
3
3.
c WHEN MACHINE VALIDATED
SEPA Checklist \l � � THIS BECOMES A PERMIT.
-3dA ,. �� c�--�� 08--30-79
(h��
ADDRES
-` _
ZIP
Required Set Backs in Feet
North South
East West
CONTRACTOR
PHONE' / _
Size of Parcel
Zone Classification
4'
ADDRESS
I
Type Const.
I Occupancy
Sprinklered
Q
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESSZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW
❑ ALT.
�AD' ❑ RPL. ❑ M.VE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
ElBLD.
ElPLMB.
MECH: ❑ L1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
.H.
of EXEMPTION
DESCRIBE WORK
8
FEES COLLECTED
i
PERMIT NUMBER
DATE
04* *9.00
*9.00 N
*9.0061
A *0.00 CO)
317.9
08-30-79
;F 0479,
VALUATION
9.
Source
of
Utilities
GAS
ELECTRI
WATER
SEWER
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 permi -does not presume
to give authority to violate or cancel the provisions of any other state or a law regulatin onstruction or the
performance of construction. Plumbing
�
DATE r7q�ICXC SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
�7
Utilities D(J
TOTAL $
Zone Clearance
c WHEN MACHINE VALIDATED
SEPA Checklist \l � � THIS BECOMES A PERMIT.
-3dA ,. �� c�--�� 08--30-79
IN THIS SPACE,
1_8.Filz
APPROdD FOR ISSUANCE .
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*9.00°F