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1982, 09-01 Permit: 82A-7734 Heat PumpPLAN NUMBER 10651 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. E. 9203 Boone Ave. LOT BLOCK Spokane, Wa. 99206 SUBDIVISION 2. OWNER 3. Dr. Richard Del Balso ADDRESS N. 708 Argonne Rd, Spokane, Wa. CONTRACTOR 4. Sturm Heating, Inc, ADDRESS E. 204 Indiana - Spokane, Wa. LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S PHONE 924-4536 ZI P 99206 Actual Set Backs in Feet North 'South East (West PHONE 325-4505 Size of Parcel Zone Classification ZIP 99207 Type Const. Occupancy Sprinklered ❑Yes ENo ❑ Req'd. 5. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZI P Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement L?J NEW ❑ ALT. D'N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8.I nstall Heat Pum VALUATION 9. System SOURCE GAS OF UTILITIES Enum. Dist. I Location (Area) 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 .w egulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT ONS DATE OF APPLICATION 8-18-82 SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SIGNATURE OF APPLICAN SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing 4.50 Mech. 10.00 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 14.00 )1A, PERMIT NUMBER 04* * 1 4.00 *14.006 A *000 8 77332 09-01-82 z 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09-01-82 773.42 *1400aH PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL