1981, 03-02 Permit: M81A-1957 Heat PumpPLAN NUMBER
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.
JOB ADDRESS
10203 East 19th Avenue
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 George Wagstaff
ADDRESS
4.
PHONE
924 9884
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Same
CONTRACTOR
Sturm Heating, Inc.
ADDRESS
East 204 Indiana
ZI P
PHONE
06
325 4504
Actual Set Backs in Feet
North !South East (West
Size of Parcel Zone Classification
ZI P
99207
Type Const.
Occupancy Sprinklered
Elves ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW ❑ ALT. laXaD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. DOGIECH. ❑ M.H. ❑ POOL
❑ 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
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
XX
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that I have read and examinectlis 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 INSPECTIONS
DATE OF APPLICATION 2-25-81 SIGNATURE OF APPLICANT
SPECIAL APPROVALS 1 SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
e
ician
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
pl
PERMIT NUMBER
A -
04* *14.00
* 1 4.00
* 14.006
fi *00.0 S
1 95.6-
03-02-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIO5-0jS..A81RMIT.
195.7g *1`kA
dF
PERMIT IS NONTRANSFERABLE
PERMIT EYPIREC (INF VEAR FRf1M KATE flE ICCIIAIUCE urs
❑conn it nin Tr\Tni