1982, 07-08 Permit: 82A-5807 Heat PumpPLAN NUMBER
# 10569
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.
JOB ADDRESS
E. 11827 Lenora
,,_l.i;GAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
TERRY HATCH
ADDRESS
E. 11827 Lenora
i
PHONE
928-9211
PARCEL NUMBER/S
ZIP
99206
Actual Set Backs in Feet
North 'South East
'West
CONTRACTOR. -
Sturm Heating, Inc.
ADDRESS
E. 204 Indiana.
PHONE
325-4505
Size of Parcel Zone Classification
ZIP
99207
Type Const.
Occupancy . Sprinklered'
Dyes DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unf in. Basement
ri<EW 0 ALT. �0 A N. 0 RPL. D MVE.
❑ BLD. 0 PLMB. LJ 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
8. TNSTATT HEAT PUMP SYSTEM
Enum. Dist.
Location (Area)
VALUATION SOURCE
OF
9. 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 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 INSPEC IONS
DATE OF APPLICATION 7-2-82 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil e
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
•
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
4.50
10.00
$ 14.00
PERMIT NUMBER
04* *1400
*14,006
A *0.00 S
58Q6R
07-0S-82
R. 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0;7t`OI$='8'2; 5.8a72 *14002e -
- DATE 'ISSUED PERMIT NO. ,TOTAL