1982, 08-04 Permit: 82A-6766 Heat PumpPLAN NUMBER
10621
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHsfN1GTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
2.
3.
4.
JOB ADDRESS
S11420BettmanSpoNane,oTSUBDso
OWNER
TERRY ELLIS
Wa, 99206
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
536-7506
PARCEL NUMBER/S
ADDRESS
SS 1420 Bettman, Spokane, Wa.
CdNTRACTOR
Sturm Heating, Inc.
ZIP
99206
Actual Set Backs in Feet
North (South
East
'West
PHONE
325-4505
Size of Parcel
Zone Classification
ADDRESS
E. 204 Indiana, Spokane, Wa.
DESIGNER
5. ADDRESS
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
(_i NEW
❑ BLD.
❑ ALT.
O PLMB.
0 AD'N.
I]MECH.
O RPL.
O M.H.
O MVE.
❑ 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 eat Pu p System
VALUATION SOURCE GAS
OF
9. UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
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
✓ 8-2-82
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
3uil. T ch ici. n
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech,
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
4.50
JO 00
$ 14.00
AA/
PERMIT NUMBER
-6970G
G
04* *14.00
*14.006
A *0,00
67652
08-04-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 8'.' 0 4 -`8 2
DATE ISSUED
676.65 *1400d1-
PERMIT NO.1O V.AL