1982, 07-22 Permit: M82A-6298 Heat PumpPLAN NUMBER
10596
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. 12104 Buckeye, Spokane, Wa, 99206
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
OWNER
3DENNIS CARTY
PHONE
924-3075
ADDRESS
E. 12104 Buckeye
ZIP Actual Set Backs in Feet
99206
North 'South
East
West
CONTRACTOR
4S turm Heating, Inc.
PHONE
325-4505
Size of Parcel
Zone Classification
' ADDRESS ZIP Type Cons
E. 204 Indiana , Spokane, Wa 99207
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZI P
Occupancy
Sprinklered
Eves ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑,/AD'N. ❑ RPL.
LSI MECH. ❑ M.H.
❑ MVE.
❑ POOL
❑ 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 Unit
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public 0 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 I. regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI
DATE OF APPLICATION 7-20-82
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
4.50
10.00
14.00
PERMIT NUMBER
P, -LA — Ce72,76
04* * 1 4.00
*14006
A *000
629,72
07-22-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'71-t 2. 82 629.85 *1400a —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL