1984, 04-11 Permit: 84A-3228 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
B. 10417 Holman
PARCEL NO. .6
LOT
BLOCK
2.
iMET Farley
3. MAILING AOTBI17
SUBDIVISION
6244-2291W
PHDAIE.-3543h
LEGAL DESCRIPTION:
Holman
ZIP 99206
Actual Set Backs In Feet to:
North I South [East I West
4.
CONTRACTOR
STURM .ITG
ADDRESS
E. 204 Indiana
LICENSE
11/6/ 84
P'5-4505
Sim of Parcel 1 Zone Classification
Residential C
Commercial 0
ZIP
99207
Type Const.
Occupancy
Spr nklered
❑Yes ONo DReq'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Unfin. Basemeli
No.
nt Fin Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
Iii ALT. 0 AD' N. ❑ RPL. 0 MVE.
0 PLMB. t MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
Certif1. of Exempt.
or Variance
Required YesO NoO
Received VesD No0
Number
8 DESCRIBE WORK Install Heat Pump
Shorelines/Flood Ham d
YesC Not Applic.0
Plans Required 0
Received 0
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
XX
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 au-
thority 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 �J
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
tem —
APPLICATION
DATE
ce
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Horne
Other (Specify)
TOTAL y 20.00
PERMIT NUMBER
Off Q
-3-270
04* *2000
*20.00
A *000 0
32272
04-11-84
6479,
)—
LU LU
J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEYS.sIEDL+.1-84
PERMIT 2.'2.8 Z
*20.00
TOTAL