1981, 03-04 Permit: 81A-2033 Heat Pump PLAN NUMBER #1534 APPLICATION/PERMIT PERMIT NUMBER
/� SPOKANE COUNTY — BUILDING CODES DEPARTMENT H � 4 -
/" j NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 15705 East 11th Avenue LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 4, 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBERS
2. x 1 4. ( 0 u5
5
OWNER PHONE * 1 4: 0 0 6
3 Rick Erickson 924 5062
ADDRESS ZIP Actual Set Backs in Feet * C. (+ l
c��v7t� c `$Nt 11th AVenuc 99037 North South East (west 0 3.
PHONE Size of Parcel Zone Classification
4 Sturm Heating, Tnr. '75 4505 03—Oft-81
ADDRESS ZIP Type Const. Occupancy Sprinklered 6.4 7 9,
East 204 Indiana 99207 Oyes ❑No 0 Req'd.
DE ICNCR - PHONEValuation 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.
TYPE CNo.Baths No. Stories No. Rooms No. of Dwellings
AJEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK
0 BLD. 0 PLMB. a MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
$•Install York heat pump FEES COLLECTED
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
1v( 1981 �? 10.00
DATE OF APPLICATIONcy�� 4.50
"arch 2,
SIGNATURE OF APPLICANT G w v Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning SEPA
C7
U
Fire Marshall Mobile Home 1,�
J_
LL
Co. Engineer Other(Specify)
Utilities
TOTAL $ 14.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
,
T h ician r• ,. PERMIT IS NONTRANSFERABLE .0 3i1"0. 4 1 1 2 0 33'2 *1 4.0 0 a_Pi; _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL