1982, 10-08 Permit: 82A-9261 Heat PumpPLAN NUMBER
APPLICATION/PERMIT 10731
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
"LICANT: COMPLETE NUMBERED SPACES - PRESS HARE, O MAKE 3 COPIES
JOB ADDRESS
1. E. 11107 23rd Avenue Spokane, WA 99206
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
MARK ROTCHFORD
ADDRESS
SANE
4.
CONTRACTOR
STURM HEATING, INC.
PHO
92+x --E
1450
ZIP
PHONE
325-4505
PARCEL NUMBER/S
ADDRESS
E. 204 Indiana Spokane, WA
99207
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
Actual Set Backs in Feet
North South East 'West
Size of Parcel
Type Const.
Valuation
Main Floor
Occupancy
Upper Floors
Area of Decks
Zone Classification
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. INSTALL HEAT
VALUATION
9.
PUMP SYSTEM
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Enum. Dist. I Location (Area)
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 INSPECTIONS
DATE OF APPLICATION
OCTOBER 5, 1982
SIGNATURE OF APPLICANI�..(?d_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing hnician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
4.50
10.00
$ 14.00
PERMIT NUMBER
04* * 1 4,00
*14.006
A *000 0
92602
1C-08-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ppb 82
926.t
10
DATE ISSUED PERMIT NO.
*1400°(-