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1982, 07-12 Permit: 82A-5893 Heat Pump, FurnacePLAN NUMBER # 10580 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. N. 1006 Willow Rd. Spokane, Wa. 99206 LEGAL DESCRIPTION - SEE ATTACHED LOT 2. BLOCK SUBDIVISION PARCEL NUMBER/S OWNER 3. J. A. HALVORSON ADDRESS N. 1006 Willow Rd. CONTRACTOR 4. Sturm Heating, Inc. ADDRESS E. 204 Indiana, Spokane, Wa. PHONE 926-7119 ZIP 99206 Actual Set Backs in Feet North 'South East 'West PHONE 325-4505 Size of Parcel 1 Zone Classification ZIP 99207 Type Const. Occupancy Sprinklered ❑Yes 0 N ❑ Req'd. DESIGNER 5. ADDRESS PHONE Valuation 1 Building Area in Sq. Ft. ZI P 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 U NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ RPL. ❑ MVE. El/MECH. ❑ M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. Install Heat Pump & Furnace Enum. Dist. Location (Area) VALUATION 9. SOU RCE OF UTILITIES GAS ELECTRIC WATE R SEWE R Ownership Public ❑ Private Cl 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 la egulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC Alla /l v DATE OF APPLICATION 7-8-82 SIGNATURE OF APPLICANT aJ SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 4.50 10.00 TOTAL $ 14.00 M PERMIT N MBE, 04* *14.00 *14.006 A *000 0 589.2 07-12-82 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. O742-'8.2. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 589.35 PERMIT NO. *140021 - TOTAL