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1979, 09-20 Permit App: 79-4406 Heat PumpPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS f 0 `�dn �p L�*_`� LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK S BDIVISION PARCEL NUMBER/S 2. North South East West Size of Parcel OWNER � (� %�� PHONE 3. � Sprinklered ADDRESS � � � .� (� r1 1i��C1X1 Building Area in Sq. Ft. ZIP CONTRACTOR DWL Area Basement Area PHONE 0 a 0� 4. Split Level Rancher ADDRESS ZIP DESIGNER No. Rooms Rec. Room PHONE CERTIFICATE 5. ADDRESS I Recd. Not Rec ZIP CHANGE OF USE FROM TO 6. TYPE liQ_ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. % OF ElBLD. 13PLMB. ff MECH: ElM.H. 11POOL ❑OTHER WORK DESCRIBE WORK la", 8. )P-- �� w Requirea Set Backs in reet North South East West Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. DWL Area Basement Area Garage Area Storage Split Entry Split Level Rancher No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE Req'd. I Recd. Not Rec of EXEMPTION FEES COLLECTED VALLtArrION Source GAS ELECTRIC WATER SEWER of 9, Utilities X X 1 1 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 local law regulating construction or the performance of construction. Plumbing DATE SIGNATURE-\) a1 �Q Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: nr DT RFrYn RFcIn_ I Plan Check Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER M -11-+ o�o DATE (-1-7— 7 c, 04* *9,00 *9.00 to - 9. E *000 00 44Q5;9 09-20-79 ;1 6479, /� C�� I WHEN MACHINE VALIDATED IN THIS SPACE, j 1/ ' THIS BECOMES A PERMIT. 0 1— U W !1 z DATE REMARKS RECORD OF INSPECTIONS Final Inspection INSPECTED BY