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1982, 06-01 Permit: 82A-4375 Heat PumpPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 N/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES JOB ADDRESS South 1626 Pines Road LEGAL DESCRIPTION — SEE ATTACHED LOT 2. BLOCK SUBDIVISION OWNER a Henry Liere PHONE 926-3223 PARCEL NUMBER/S ADDRESS Smith 1676 Pines Rd ZIP 99206 Actual Set Backs1in Feet North `South East 'West 4. CONTRACTOR STURM HEATING, INC. ADDRESS E. 204 Indiana DESIGNER 5. ADDRESS PHONE . 325-4505 Size of Parcel 1 Zone Classification ZIP 99207 Type Const. .Occupancy Sprinklered Oyes DNo' 0 Req'd. PHONE Valuation I Building Area in Sq: Ft. ZIP • Main Floor Upper Floors 1 . Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 2/NEW 0 BLD. ❑ ALT.,❑,/%jO N. 0 RPL. 0 MVE. 1:1 PUNS. Lam] MECH. 0 M.M. 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. install heat pump system. VALUATION 9. SOURCE OF UTILITIES GAS Enum. Dist. Location (Area) ELECTRIC WATER SEWER Ownership Public D 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 INSPECTIO DATE OF APPLICATION 5/27/82 SIGNATURE OF APPLICANT %r)'� � SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner EPA Checklist SPECIAL CONDITIONS: , PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. 10.00 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 14.00 4.50 .I' V PERMIT NUMBER • gzA---d375 # 104 84 0-4* *14,00 * 14.00 !n * 14.006 A *Q00 437.4A '06-01-82 A 6479.. _ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ;1'4. 1 0,6 ,'17.8121 4.5 I7,''5' g DATE'ISSUED PERMIT NO. *.1.400a-12 TOTAL >- 0 0 0 J tt