HomeMy WebLinkAbout1979, 07-19 Permit: 79-716 Furnace, Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
2.
3.
4.
LOT
BLOCK
VAI I VI N , E- 10821
SUBDI I O
LEGAL DESCRIPTION - SEE ATTACHED
5.
OWNER
EDWARD KOLBAR
PHONE
534-4455
PARCEL. NUMBER/S
ADDRESS
Same
CONTRACTOR
STURM HEATING, INC.
ADDRESS
F- 204 Indin.na
DESIGNER
ZIP
Required Set Backs in Feet
North 'South lEast 'West
PHONE
325-4505
Size of Parcel 1 Zone Classification
ZIP
99207
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd_
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
• MECH:
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. ELECTRIC FURNACE & HEAT PUMP
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
XXXXX
WATER
SEWER
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 1 /7/ ' OFFICI
APPROVOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 1 1,nn
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 13.00
PERMIT NUMBER
79_ 7I
July 18, 1979
04* *1 300
*1300
tn-
*
A *0.00 0
71.52
07-19-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7-1�9-79 7165
*13.00°�