1980, 04-30 Permit: M80-4134 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. E. 14124 BOONE Spokane, Wa.
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
2.
OWNER
3 Mr. & Mrs. D. Johnson
ADDRESS
E 14124 Rnnne Spokane a_
CONTRACTOR
4 HARTMANN'MECHANICAL SERVICES
PARCEL NUMBER/S
PHONE
926-3077
ZIP
99216
Required Set Backs in Feet
North 'South East 'West
PHONE
926-4028
Size of Parcel - Zone Classification
ADDRESS
E. 8124 Cataldo Spokane, Wa.
ZIP
99206
Type Const.
Occupancy Sprinklered
Dyes ❑No D Req'd.
5.
DESIGNER
ADDRESS
PHONE
Valuation
BuIIding Area in Sq. Ft.
ZIP
DWL Area l Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE D NEW D ALT.
7. OF
WORK 0 BLD. D PLMB.
lI AD N. 0 RPL. D MVE.
® MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. Add on Heat Pump
VALUATION
9. $2500.00
Source
of
Utilities
GAS
ELECTRIC
XX
WATER
SEWER
I hereby' certify that 1 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 Npl1 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. KO{r
DATE,4Pz Q29, /9Wo SIGNATURE
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DAT E 4/30/80 OFF1 CI ALi/Ai 177-7
APPROVED OR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
PERMIT NUMBER
—4L -S4
DATE
04* *9.00
*9.00
*9.006
E *Q00 8
4131
04-30.'80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
TH IS0B q SIARERMIT.
CH4 a9.0'Da°F