1982, 09-29 Permit: M82A-8852 Heat PumpPLAN NUMBER
10721
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
1.
2.
3.
JOB ADDRESS Veradale, Wa.
E . 14516 - 18th. Ave. 99037
LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION
PARCEL NUMBER/S
OWNER
FARRELL ALMOND
ADDRESS
S ame as Above
PHONE
924-7392
ZIP
99037
Actual Set Backs in Feet
North 'South 1East (West
CONTRACTOR
Sturm Heating, Inc.
ADDRESS
E. 204 Indiana
PHONE
325-4505
Size of Parcel 1 Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE .]' NEW
7, OF
WORK ❑_ BLD.
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. �MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIF K
8. 1.3 dilation
VALUATI,f,JN
9.
SOURCE
OF
UTILITIES
Enum. Dist.
of Heat Pump
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC IPS
DATE OF APPLICATION 9-24-82 SIGNATURE OF APPLICAN
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
PERMIT NUMBER
134/\ 2,5l"
04* *1400
*14006
A *000
885,12
09-29-82 -
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-129-82 885..22 *14002 -
PERMIT FYPIRFS (INF VFAR FR(IM DATF OF IRRIIANCF Il TF ICC! icn
ocorAIT rIrl TryrAl