1982, 11-15 Permit: 82B-0989 Heat PumpPLAN NUMBEFE •
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
JOB ADDRESS
1. North 922 Best
LOT
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
2.
OWNER
3. Jerry Anderson
ADDRESS
North 922 Best
CONTRACTOR
PARCEL NUMBER/S
PHONE
924-7279
ZIP
99216
Actual Set Backs In Feet
North !South East 'West
4, STURM HEATING, INC_
ADDRESS
East 204 Indiana
PHONE
325-4505
Size of Parcel 1 Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation 1Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
Area of Decks
Finished Basement
Unfin_ Basement
NEW 0 ALT. 0AD'N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB. (Q MECH. ❑ 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 pump system.
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
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 INSPECTIO S ��JJ
DATE OF APPLICATION 11-10-82 I T 2 7( 1G�77�i31
S GNA URE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Byyiijngicnician i
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single S
Building
Plumbing
4.50
Mech. 10.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL S 14.00
of
ix}
I.4MIT NUMBER
#10799
04* * 1 4.00
*1 4,00ca`i
A *0.00 n
9'
11-15-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-1.5-82 9&'92
*1400°-'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL