1982, 09-20 Permit: 82A-8391 Heat PumpPLAN NUMBER
10707
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. s 406 Newer Rd. Veradale Wa. 99037
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
2.
PARCEL NUMBER/S
OWNER
3 DON LUST
4' ADDRESS
E. 204 Indiana, Spokane, Wa.
DESIGNER .
PHONE
977-7877
ADDRESS
S 406 Newer Road
CONTRACTOR
Sttirm Heating, Inc.
ZIP
99037
PHONE
325-4505
Actual Set Backs in Feet'
North (South East 'West
Size of Parcel . Zone Classification
6' ADDRESS
ZIP
99207
Type Const.
Occupancy' Sprinklered
Dyes 0No' 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.'
ZIP
Main Floo
Upper Floors
Garage -Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks .
Finished Basement
• Unfin. Basement
TYPE
7.- OF
'WORK
O NEW
O BLD.
O ALT.
❑ PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
,No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.I nstall Heat Pump System
VALUATION ll
9.
SOURCE GAS
OF
UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private_ El
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 INSPECT!C
DATE OF APPLICATION
September' 16, 198„&GNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
a. t.n.✓ )17+01
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
PERMIT NUMBER
04* *14,00
*14006
A *Q00 0
839.02
'09-20-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT..
0;9. f: i'0 :'8 21: 8'5 9,1'd
DATE ISSUED PERMIT NO.
`*140a
TOTAL