1981, 05-14 Permit: 81A-4719 Heat PumpPLAN NUMBER
APPLICATION/PERMIT #1635
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
(North 2613 Center Road
LOT
BLOCK
2.
3.
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
OWNER
Marguerite Oliver
ADDRESS
same
PHONE
926 7880
ZIP
99206
Actual Set Backs in Feet
North (South • East 'West
CONTRACTOR
4 Sturm Pleating Inc
ADDRESS
East 204 Indiana Avenue
PHONE
325 4505
Size of Parcel Zone Classification
ZIP
99207
Type Const.
Occupancy Sprinklered
❑Ves ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks '
Finished Basement
Unf in. Basement
TYPE 0 NEW 0 ALT. AD N. 0 RPL. 0 MVE.
7 OTHER
WORK 0 BLD. 0 PLMB. ®Nv1ECH. 0 M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
.Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
Install heat pump
Enum. Olst. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership !.
Public 0 Private 0
USE CODE
1 hereby certify t+.i.dt 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 tc 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 May 12, 1981 SIGNATURE OF APPLICANT —� ••'�r�J
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Utilities
SPECIAL CONDITIONS: Ellen Muxlow
FEES COLLECTED
Single $
Building
Plumbing
4.50
Mech. 10 00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
M
PERMIT NUMBER
ttA - 47L7
•
04* *14.00'' q i�v
*14.00 Li'
* 1 4.000
A *COD
471.82
05-14-81
S 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE I��!'rJj11�4�1; SI{l+
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE - DATE ISSUED PERMIT NO. TOTAL
47191, *1'451O114A _