1983, 04-25 Permit: 83A-3280 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. S. 3008 Bates Road
LOT BLOCK SUBDIVISION
2.
PARCEL NO.
3.
OWNER
Rod Ramer
PHONE
928-9105
MAILING ADDRESS
S. 3008 Bates Rd.
PHONE
ZIP
99206
LEGAL DESCRIPTION:
4.
CONTRACTOR
Sturm Heating, Inc.
ADDRESS
E. 204 Indiana
LICENSE EXPIRES
11-6-83
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
PHONE
325-4505
ZIP
99207
PHONE
ZIP
TO
TYPE El NEW ❑ ALT. CI AD' N. El RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. C MECH. ❑ M.H. 0 POOL
Actual Set Backs in Feet to:
North (South [East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
New Const. Valuation
Residential ri
Commercial G
Sprinklered
❑Yes ❑ No ❑ Req'd.
Remode ed Valuation
Main Floor Upper Floors
Cover Deck Uncv. Deck
Total Bldg. Floor Area
Garage/Storage Greenhouse
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
8.
DESCRIBE WORK
Install Heat Pump
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER 0
Fin. Basement
No. Fin. Rooms
Required Yes: No E;
Received YesE Nor,
Shorelines/Flood Hazard
Veen Not Applic. Cl
Ownership
Public 0 Private 1
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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE F• R REOUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
APPLICATION(
DATE _20_83
4+
SPECIA CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required Ll
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
4.5(T
10.00
TOTAL $ 14.00
PERMIT NUMBER
e) 3A -32-6o
4
*14.00
* 1 4-006
*0.00 3
327.95
04-25-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04-25-83
DATE ISSUED
PERMIT lO 0. 0 Z *1 4 o 041+-,'L