1982, 07-19 Permit: 82A-6153 Heat PumpPLAN NUMBER
10585 APPLICATION/PERMIT
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
E. 11725 Glenview Circle
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
5.
OWNER
JERRY SIMPSON
PHONE
926-6973
PARCEL NUMBER/S
ADDRESS
E. 11725 Glenview Circle
CONTRACTOR
Sturm Heating, Inc.
ZIP
99206
Actual Set Backs in Feet
North 'South (East 'West
PHONE
325-4505
Size of Parcel 1 Zone Classification
ADDRESS
E. 204 Indiana
DESIGNER
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation 'Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
8.
9.
TYPE
OF
WORK
Er/NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. 6-MECH. 0 M.H. 0 POOL
DESCRIBE WORK
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Install Heat Pump System
VALUATION
SOU RCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
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 la egulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIIS
DATE OF APPLICATION 7-12-82 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ilding echnian�/
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
4.50
Mech. 1 0.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
PERMIT NUMBER
c3— "615'
04* *14.00
*14.006
A *000
61522
07-19-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07=1 -82 615.32 *1400x1 -