1983, 06-21 Permit: 83A-5637 Heat PumpPLAN NUMBER APPL ICAT ION /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
STREETADDRESS PARCEL NO.
1. S. 3715 Sundown
2. LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
OWNER &_;�
Mrs. Leer
PHONE
PHONE
3.
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
S. 371.9 Sundown S okane WA. 9
99206
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
Sturm Heating, Inc.
11-6-83
325-4505
1 1
Commercial ❑
4
ADDRESSE. 204 Indiana Spokane, WA.
ZIP99207
Type Const. Occupancy
❑Yes Spr❑Norinkle� ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
YPE
TOF
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
13 NEW El ALT. El AD' N. ❑RPL. El MVE.
7. ❑OTHER
Certifi. of Exempt.
Required Yes❑ No❑
Number
WOR K ❑BLD. ❑ PLMB. CMECH. ❑ M.H. ❑POOL
or Variance
Received Yes❑ No❑
8 DESCRIBE WORK Install Heat Pump
Shorelines/ Flood Hazard
Plans Required ❑
p
Yes Not Applic. ❑
Received ❑
VALUATION
9•
I SOOURCE
GAS
ELECTRIC
PUBLIC O
SEPTIC ❑
Ownership
FEES COLLECTED
UTILITIES
XX
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provitions 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 performance
of construction. SEE REVERSE SIDE FO REQUIRED INSPECTIONS
Plumbing _4.50_
SIGNATURE OF APPLICATION10.00
L
OWNER OR AGENT DATE
Mech.
SPECIAL APPROVALS
SPECIA vikCONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
Planning
Engineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech.(%IN 180 DAYS
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $ 14.00
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06-21-05 565.76Z
DATE ISSUED PERMIT NO.
*1400°Pj
TdiAL
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