1981, 03-09 Permit: 81A-2170 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 3 COPIES
1.
2.
3.
JOB ADDRESS
South 3004 Bates Road
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
Nevin Magnus
ADDRESS
South 3004 Bates Road
PHONE
928 0083
2199206
Actual Set Backs in Feet
North !South 1East 'West
4.
CONTRACTOR
Sturm Heating
PIifff 4505
Size of Parcel 1 Zone Classification
ADDRESS
East 204 Indiana Avenue
DESIGNER
5.
ADDRESS
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
0 NEW 0 ALT. &CXAD'N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB. IN MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. install heat ump
VALUATION
9.
Enum. Dist.
Location (Area)
SOURCE GAS
OF
UTILITIES
ELECTRIC
X
WATER
SEWER
Ownership
Public ❑ Private 0
USE CODE
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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATIONMarCh 4 , 1981
SPECIAL APPROVALS
NAVE DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT -
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
10.00
4.50
TOTAL $ 14.00
PERMIT NUMBER
( - 2-x'70
Ott* *14,00
*14.00
*14.006
A *0.00 8
2169e
03-09-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3r.- '9 8
217.05'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE'IOSUEDOi PERMIT NO. TOTAL
*1400"
CI I -