1981, 08-06 Permit App: 81A-7848 Heat PumpPLAN NUMBER APPLICATION/PERMIT#10093 PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1• E. 11002 29th Ave.
LOT I BLOCK SUBDIVISION I PARCEL NUMBER/S
OWNER
PHONE
3. Mr. Jesgep Groff
928-9022
ADDRESS
ZIP
Actual Set Backs in Feet
2 29th Ave
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
STURM HEATING INC.
325-4505
4
ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
IE. 204 ndiana
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
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
s.
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
❑ NEW ❑ALT. � AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 ? �
FEES COLLECTED
VALUATION S URCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El Private ❑
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
Building
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 Plumbing
4.50
L.�10.00
2.9.18,1.- Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT! ��°!'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
S Examiner
ac n cia PERMIT IS NONTRANSFERABLE
PFRMIT FXPIRFS (INF YFAR FRC1M nATF CIF ISSIIGNCF
SEPA
Mobile Home
Other (Specify)
TOTAL $ 14.00
04* *14,00
* 1 4,00
* 1 4,00
A *0,00
784,7
08-0681
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
_0 '8 -'0 6 T 81 718 ,4 8 Z
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*14:0021 -
TnTA I
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