1981, 11-30 Permit: 81B-2254 Heat PumpPLAN NUMBER
APPLICATION/PERMIT #10279
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
2.
JOB ADDRESS
E. 11603 Maxwell
LOT
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
OWNER
3 Jim Nessly
PHONE
926-9220
AIOpR EYS$603 Maxwell
ZIP
99216
Required Set Backs In Feet
North 'South East 'West
4.
CONTRACTOR
Sturm Heating, Inc.
ADDRESS
E. 204 Indiana
PHONE
325-4505
Size of Parcel 1 Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
DYes DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
OWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
D ALT.
❑ PLMB
D AD N.
❑ MECH
D RPL.
❑ M.H.
❑ MVE.
0 OTHER
D POOL
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
g, install heat pump system
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correc . 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.
DATE November 17, 1981 SIGNATURE tr._"1 '7/7 7V
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA',Checklist
1 HOME OWNER'S WARRANTY
YES ❑
NO 0
SPECIAL CONDITIONS:
DATE tt(23/8I OFFICIAL // �p 641.V
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4.50
10.00
14.00
TOTAL $
PERMIT NUMBER
5t3
DATENovember 17, 1981
-04* *1400
* 1400 II)
* 14006
A *000
225.32
1'1-30-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES,A PFrRMIT. O
1'11=1510=811 22,5.4= *1.400x1-.