1982, 06-01 Permit 82A-4367 Heat Pump[LMIN IV .../ MI o,r
ArrLI34 R 1 norm/ rcrsmI 1
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
South 1009 Dishman Road
LOT
BLOCK
SUBDIVISION
3.
OWNER
ierson
ADDRESS
South 1009 Dishman Road
PHONE
924-8496
ZI P
99206
LEGAL DESCRIPTION — SEE ATTACHED
4' ADDRESS
E. 204 Indiana
CONTRACTOR
STURM HEATING, INC.
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
325-4505
ZIP
99207
PHONE
ZI P
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
PARCEL NUMBER/S
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Occupancy
Valuation
DESCRIBE WORK
8. install
.neat pump system.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Main Floor
Upper Floors
Area of Decks
No. Baths
Zone Classification
Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Storage
Unfin. Basement
No. Rooms
Location (Area)
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 INSPECTIONS
--E OF APPLICATION 5/25/82 CI!_AI /DTI IQC /lC ADDI 1!`A AIT JG%1�'�7Zl� •�, L'/ �"
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
ft
Buildin• echn ciar
3LE
OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4.50
10.00
TOTAL $ 14.00
#10472
04* * 1 4.00
* 1 4,00
* 1 4,006
A *0.00
436606_01-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE SSUEJ
-82
436:7g
*1400a1I-
PERMIT NO. TOTAL