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1981, 04-14 Permit: 81A-3479 Heat Pump
AP LICA 1 1V11/ rnFiMI 1 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 824 S Pd.?erton Spokane LEGAL DESCRIPTION — SEE ATTACHED 2. 3. 4. LOT BLOCK SUBDIVISION PARCEL NUMBER/S OWNER Florian Erhart ADEIKES6 82' 3 Edgerton CONTRACTOR Boyle Fuel Co ADDRES1014 Division PHONE 924 3371 ZIP 99206 Actual Set Backs in Feet North 'South East 'West PHONE 328 1521 Size of Parcel Zone Classification ZIP 99202 Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5. ADDRESS PHONE Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 0 NEW 7. OF WORK 0 BLD. ❑ ALT. ❑ PLMB. © AD'N. 11 MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 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 with indoor coil Enum. Dist. Location (Area) VALUATION 9. 1890 SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE 1 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 INSPECTION DATE OF APPLICATION (f—/3R, SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Check! Idin•.Technician SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. !N, 5o Plan Check SEPA Mobile Home 10.00 Other (Specify) TOTAL $ 14.00 04* *1400 * 14.00 '6 * 14,00 A *Qoo g 3 4'7,8z ,,04-14-8.1 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Ai,41 :314`-.18, Il; PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 3,47.`9,2 *'1140 0 a Pj — PERMIT NO. TOTAL