1982, 11-09 Permit: 82B-772 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
#10788 /Y
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. South 1212 GALWAY
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3. Joseph Caldwell
ADDRESS
SOUTH 1212 GALWAY
CONTRACTOR
STIIRM HFATTNC; TNC
ADDRESS
East 204 Indiana
PHONE
926-4673
ZIP
99027
Actual Set Backs in Feet
North (South
East
'West
PHONE
325-4505
Size of Parcel
Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
Oyes ❑No 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
NEW
0 BLD.
0 ALT.
❑ PLMB.
❑ ,!„))9 N. ❑. RPL.
( MECH. 0 M.H.
0MVE.
0 OTHER
0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
• CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. install heat
VALUATION
9.
Enum. Dist. Location (Area)
um n system
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 perniit 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 11-4-82 SIGNATURE OF APPLICANT '»' "T.\-'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Check!
�11k
`withei —441W -al
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
' 4.50
10.00
TOTAL $
14.00
PERMIT NUMBER
r%t-$a - 77z-
04'* * 1 4,00
*14006
A *000 3
77.12
1.1 —09-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOME$,A PERMIT.
4! sr r9i-@82•77.22
DATE ISSUED .e':' PERMIT NO.
*14.0'120,
TOTAL
a
0
J