1982, 06-29 Permit: 82A-5494 Heat PumpAPPLICATIUN/ PEKIVIIT.
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
SOUTH 1611 EVERGREEN
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Bernard Shutte
92 -
PHO E
5178
PARCEL NUMBER/S
ADDRESS
South 1611 Evergreen VERADALE
CONTRACTOR
STURM HEATING, INC.
ZIP
99037
Actual Set Backs in Feet
North 'South East 'West
PHONE
325-4505
Size of Parcel Zone Classification
ADDRESS
E. 204 Indiana
2199207
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
ADDRESS
PHONE
Valuation I Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
MleNEW
0 BLD.
❑ ALT. �❑ D N. 0 RPL. 0 MVE.
❑ PLMB. 14 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
g, install heat pump system.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
Enum. Dist. I Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public r 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
SIGNATURE OF APPLICANT'*'? 72t&_ t/
DATE OF APPLICATION 6-25—R7
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilitie
Plans Examiner
SEPA Checklis
(ding Tec
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
4.50
Mech. 10.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
#10552
04* *14,00
*14.000
A *Q00 0
54938
06-29-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
5'4945 •*'T400°a0, -
PERMIT NO. TOTAL