1982, 04-08 Permit: 82A-2614 Heat PumpPLAN NUMBER
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
JOB ADDRESS
1 Fat—.11 f 1 9 f'-racn
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3 Aubrey Davis
ADDRESS
East 11619 Grace
PHONE
924-0978
ZIP
99206
Actual Set Backs in Feet II
North 'South FEast 'West
4.
CONTRACTOR
STURM HEATING,INC,
ADDRESS
F 704 Tndiana
PHONE •
325-4505
Size of Parcel 1 Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
Oyes ONo O Req'd.
5.
DESIGNER
PHONE
Valuation • I 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
TYPE 0 NEW
7. OF
WORK 0 BLD.
O ALT.
O PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
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 provision's 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.:olate 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 APPLICATi%.N _ROM
SIGNATURE OF APPLICANT•S v LaiaOLAYIJ
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building chnlcian
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 .
/r
ti
PERMIT NUMBER
6-2-l`i -2C014-
#10407
04= . '14.00
* 14.00
* 14.00
A *4.00 S
261,3
•04-08-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1,.t ., 1
01410 8 82 2',6'L 4 g
DATE ISSUED S PERMIT NO.
1'40001-
TOTAL
0
0
U
w
J
1.