1982, 04-27 Permit: 82A-3205 Heat Pump4
(PLAN NUMBER
JOB ADDRESS
APPLICATION JERMIT #10428
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
South 2106 Bolivar
LOT BLOCK (SUBDIVISION
OWNER
3 Owen Hagen
4.
LEGAL DESCRIPTION — SEE ATTACHED
ADDRESS
South 2106 Bolivar
CONSTUTRACTRM
HEATING, INC.
ADDRESS
E. 204 Indiana 99207
PHONE
926-1355
ZIP
99037
3��'�'E4505
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South(East (West
Size of Parcel Zone Classification
ZIP Type Const.
DESIGNER
5.
ADDRESS
6.
Occupancy I Sprinklered
CHANGE OF USE FROM
T
PHONE Valuation
ZIP
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor I Upper Floors [ Garage Area Storage
Area of Decks Finished Basement I Unfin. Basement
TYPE
7. OF
WORK
LJ NEW ❑ ALT. ,..❑,( AD'N. 0 RPL. 0 MV
❑ BLD. ❑ PLMB. VI MECH. 0 M.H. ❑ POOL
E.
DESCRIBE WORK
8 install heat pump system. Enum.Dist. (Location (Area)
VALUATION SOURCE GAS I ELECTRIC WATER SEWER
9. UTILOITIESI Ownership USE CODE
Public ❑ Private ❑ I
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
4/21/82 %�/j�� �j� 't
DATE OF APPLICATION SIGNATURE OF APPLICANT 214°77 24- At/021.1
0 OTHER
No. Baths
CERTIFICA
No. Stories No. Rooms INo. of Dwellings
TE Req'd.
of EXEMPTION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
Recd. (Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
1:88
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
PERMIT NUMBER
04* *14.00
*14.00
*14,006
A *000
32042
04-27-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04—.27-82
320.5 z
PERMIT NO.
*1400a —
TOTAL