1983, 08-15 Permit: 83A-7781 Heat Pump InstallationPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPICES — ,PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. North 506 Adams
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 Jim Crampton
MAILING ADDRESS
N. 506 Adams
PHONE
927 -0371
PHONE
LEGAL DESCRIPTION:
ZIP
;9216
Actual Set Backs in Feet to:
North ISouth
East
West
CONTRACTOR
Sturm Heating
ADDRESS
F 204 Indiana
LICENSE EXPIRES
11/6/83
PHONE
325 -4505
Size of Parcel
ZIP
99207
Type Const.
Occupancy
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
7.
PHONE
ZIP
TO
TYPE ❑ NEW ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
OF ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
❑ OTHER
New Const. Valuation
Zone Classification
Residential ❑
Commercial ❑
Sprinklered
OYes ❑No ❑Req'd.
Remodeled Valuation
Main Floor
Upper Floors
Cover Deck
Uncv. Deck
Total Bldg. Floor Area
Fin. Basement
Greenhouse
Unfin. Basement
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Cert ifi. of Exempt.
or Variance
Required
Received
Yes❑ No❑
Yes❑ No❑
Number
8.
DESCRIBE WORK
Install
Heat Pump
Shorelines /Flood Hazard
Yes ❑ NotApplic. ❑
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
E I�ECTR I C
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Ownership
Public ❑ Private ❑
I hereby certify that I have read and
reverse side, and know the same to
work will be complied with whether
thority to violate or cancel the provi
of construction. SEE REVERSE SID
examined this application and have read the "NOTICE" provisions included on
be true and correct. All provisions of laws and ordinances governing this type of
specified herein or not. The granting of a permit does not presume to give au-
sions of any other state or local law regulating construction or the pe formance
FOR REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
APPLICATION
DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Bulldin,
Tech.
SPECIAL C • ' ITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
10.00
4 50
TOTAL $ 1'9-.0 0
PERMIT NUMBER
04* *14.00
* 1 4,006
A *0,00 8
778.0f
08 -15 -83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 -15 -83
778.1
DATE ISSUED
*1400°1
PERMIT NO. TOTAL