1981, 11-30 Permit: 81B-2250 Heat PumpPLAN NUMBER
V
APPLICATION/PERMIT #10288 rn
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
�. N..2124 Dora
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
Mr. and Mrs. Joe Humphries
PHONE
926-3760
PARCEL NUMBER'S
ADDRESS
N. 2124 Dora
4T206'
Actual Set Backs in Feet
North 'South East (West
4.
CONTRACTOR
Sturm Heating, Inc.
PHONE
325.4505
Size of Parcel Zone Classification
ADDRESS
E. 204 Indiana
99207
Type Const.'
Occupancy
Sprinklered
Dyes ONo O 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
Unf in. Basement
O NEW
O BLD.
O ALT.
❑ PLMB,
❑ AD N.
❑
MECH.
❑ RPL,
❑ M.H.
O MVE.
O 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 system
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 11/24/81 SIGNATURE OF APPLICANT--20."-..—
SPECIAL
PPLICANT0n-
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilitie
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
ij
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
10.00
Mech. 4.50
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
PERMIT NUMBER
04* *14.00
* 14.00 N
* 14.00".,
A *0,00
2-24'92
0-30-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ilgrI31 81 2 2'.5.0 z
DATE ISSUED PERMIT NO.
*1400x. -
TOTAL