1984, 04-16 Permit: 84A-3379 Heat PumpPLAN NUMBER
APPLICATION/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
STREET ADDRESS
1. S. 3902 Woodruff
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
3.
OWNER
Charlesdlund
MAILING ADDRESS
S. 3902 Woodruff
PHONE PHONE
926-0422
ZIP
99206
Actual Set Backs in Feet to:
North 1South
4.
CONTRACTOR
STURM HTG . .
LICENSE EXPIRES
11/6/84
ADDRESS
E. 204 Indiana
5.
PHONE
325-4505
ZIP 99207
DESIGNER PHONE
Size of Parcel
East West
Zone Classification
Type Const.
Occupancy
Residential
Commercial E
Sprinklered
❑Yes ENo Req 'd.
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE ❑ NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF O OTHER
WORK E BLD. ❑ PLMB. p MECH. ElM.H. ❑ POOL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required YesC NoE
Received Yes❑ No fl
Number
DESCRIBE WOR
8. install 3 ton Heat PUmp
Shorelines/Flood Hazard
Yes Li Not Applic. Ll
VALUATION
9.
SOURCE
UTILLIITIES
GAS
ELECTRIC
XX
WATER
PUBLIC E
PRIVATE ^_
SEWAGE
SEPTIC E
SEWER ❑
Ownership
Public Private
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 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 FOR REQUIRED IN PECTIONS
SIGNATURE OF
OWNER OR AGENT
0
APPLICATION
DATE
4/12/84
SPECIAL APPROVALS" SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 20.00
PERMIT NUMBER
-3�?�
*2000
*20,00
*000 8
337.8Y.
04-16-84
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
A 04 DATE ISSUE u 8 PERMIT NO. Z * O a O aTOTAL