1981, 07-17 Permit: 81A-7141 Heat Pump PLAN NUMBER APPLICATION/PERMIT 04156 #10058 PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
(1) iii
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 4 * * 1 4. 0 0
JOB ADDRESS LEG L DM — SEE ATTACHED * 1 �(.0 0 rii
�. North 4615 Tolford Road
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 1 i 24 44. * 1 4. 0 0 6
2.
OWNER PHONE A * 000 v
3. .Tnhn Pri re 926 5026 7 1 4 0
ADDRESS ZIP Actual Set Backs in Feet
Game 29&r�E North 'South Ea Classificat'oust 0 7- 1 7-8 1
CONTRACTOR H Size of Parcel
Sturm Heating, Inc. 325 4505 o b.4 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
East 204 Indiana Avenue 99207 Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW ❑ ALT. C 74D'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 7 MECH. 0 M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) FEES COLLECTED
g, Install heat pump & circuit bkr I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9.
UTILITIES XX Public 0 Private 0 Single $
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 Building
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 INSPECTIONS Plumbing
4.50
I Mech. 0.00
DATE OF APPLICATION_ Ju _ 133. y 9Qi__ SIGNATURE OF APPLICANT , --- .411"_.--.= -'^""
SPECIAL APPROVALS SPECIAL CONDITIONS: Ellen Muxlow Plan Check
NAME DATE
Env. Health
SEPA
C)
Planning
- .)
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities .00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
But ' ch ician, PERMIT IS NONTRANSFERABLE .0'7-741,7-8 1
711 °z *14, -
a IJ-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL