1981, 06-30 Permit: 81A-6531 Heat PumpPLAN NUMBER
APPLICATION/PERMIT #10029 04146
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
East 14415 Cataldo Avenue
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Marvin Moss
PHONE
922 3191.
PARCEL NUMBER/S
ADDRESS
gAme
CONTRACTOR
Sturm Heating, Inc. ..
ADDRESS
East 204 Indiana Avenue
ZIP
99216
Actual Set Backs in Feet
North 'South LEast . (West
PHONE
25 4505
Size of Parcel I Zone Classification
299207
Type Const.
Occupancy
Sprinklered .
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
O NEW
❑ BLD.
O ALT.
❑ PLMB.
C2PcAD N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESCRIBE WORK
8. Install heat pump
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
X
WATER
SEWER
Ownership
Public ❑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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION June 23, 1981 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
Cid cr),241
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
10.00
Mech. 4.50
Plan Check
SEPA•
Mobile Home
Other (Specify)
TOTAL
$ 14.00
PERMIT NUMBER
S 4 &531
04* *14.0.0 .
* 14.00 17)
* 14.006
A *00.0 3
653'02
!06-30-81
2 6479
b.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
‘11jr �r f.,i.
;.10,61-1W-11
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
65i15. .*1,40;0:2- —
PERMIT NO. TOTAL
d
O
U