1983, 06-23 Permit: 83A-5679 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER q
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETYA- _ .5,6 7/
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 11518 E. 11th
LOT BLOCK SUBDIVISION LEGAL DEf CRIP*,ON:
2.
°Mr R & Mrs.Stout PIM
0962 PHONE
3. MAILING ADDRESS ZIP Actual Set Backs in Feet to:
11518 E. 11th Spokane, WA. 99206 North 'South East Iwest
CONTRACTOR
Sturm Heating, Inc. LICii—o Po RES PHo. 5-4505 Size of Parcel Zone Classification Corindmeertcaal❑❑
4. ADDRESS 1111 bb MES
ZIP Type Const. Occupancy Sprinklered
E. 204 Indiana Spokane, WA. )9207 ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. - 04 * * 1400
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse * 1 4: 0 0 8
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 4 * Q, ( 0 E,
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings 5 6 /. 8
r.
TYPE ❑ NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER 06-23-83
WORK ❑ BLD. ❑ PLMB. Ki MECH. ❑ M.H. ❑ POOL Certl iifof Exempt. Required Yes❑ No❑ Number
or Received Yes❑ Nor] _ 6 4 7 9.
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8• Install Heat Pump Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9• UTILITIES X ITROPRVAE O SEPTIC
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 Building
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 INSPECTIONS Plumbing
SIGNATURE OF � ✓ APPLICATION
_ 4.50
OWNER OR AGENT Q ' 'o, DATE 6-15-83 Mech. 10.00
SPECIAL APPROVALS SPECIAL 'ONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home ›-
Fire
Fire d
Prevent. V
Engineer Other(Specify) LU
J_
LL
Utilities
TOTAL $ 14.00
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED (� �j 1 1-
o
Building OV 3
(p IN 180 DAYS DATE{59UED2 3._8 PERMIT NO. z * n 0 TOTAL
Tech. �j