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1983, 08-26 Permit: 83A-8284 Heat PumpPLAN NUMBER i 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 1. 1502 N. Mamer Rd. • PARCEL NO. LOT 2. BLOCK SUBDIVISION OWNER 3 Jim Morrison MAILING ADDRESS N.1502 Mamer Rd CONTRACTOR 4 STIIRM Heating ADDRESS E. 204 Indiana DESIGNER 5. ADDRESS PHONE PHONE LEGAL DESCRIPTION: ZIP 99216 Actual Set Backs In Feet to: North ISouth I East I West LICENSE EXPIRES 11/6/83 PHONE 325-4505 Size of Parcel Zone Classification Residential 0 Commercial 0 ZIP 99207 Type Const. Occupancy Spr nkiered CYes °No CReq'd. PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin Basement Unfin. Basement TYPECCRNEW C7 ALT ❑ AD' N. ❑ RPL. ❑ MVE. % OF o OTHER WORK 0 BLD. 0 PLM MECH. 0 M.H. 0 POOL No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required . Yes° Noe Received Yes❑ No0 Number DESCRIBE WORK 6 Install Heat Pump/New 200 Amp Shorelines/Flood Hazard Yes° Not Applic. 0 Pans Required 0 Received 0 VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC Xi( WATER PUBLIC 0 PRIVATE C SEWAGE SEPTIC C 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 perfoymance of construction. SEE REVERSE SDE FOR REOU!RED INSPECTIONS SIGNATURE OF OWNER OR AGENT nte APPLICATION y DATE ✓ SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. `7. •6 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. Home Other (Specify) 4.50 10.00 TOTAL 814.00 0 PERMIT NUMBER 03M - 20-54- 04* *14.00 *14006 A *000 8 8283A 08-26-83 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ((It0Q1.4.•, ./sir DATEVSSUED2 0 —.8 3 QQ Qt PERMIT412. 8.Y Z * 1 4 O O POVjAL