1981, 03-26 Permit G81A-2786 Furnace, Heat Pump0/
JOB ADDRESS
LOT j BLOCK
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 8i1 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
E. 10618 Ferret
OWNER
3.
SUBDIVISION
Highview Acres
ADDRESS
E. 13903 Sprague - Suite #8
CONTRACTOR
4 A & M Quality Heating & Elec.,Inc
ADDRESS
5.
ADDRESS
SAME
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
IE NEW
❑ BLD,
E. 12710 Indiana Ave.
DESIGNER
SAME
❑ ALT.
❑ PLMB.
TO
❑ AD'N.
/1p0 MECH.
PHONE
928-9016
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
ZIP
99216
PHONE
928-2100
ZIP
99216
PHONE
ZIP
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const. I Occupancy
Valuation
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
0 OTHER
DESCRIBE WORK
B.Install Gas Furnace & Heat Pump VALUATION SOURCE GAS ELECTRIC WATER SEWER
SEWER
F
9. UTILITIES XXXXX
East
(West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor I Upper Floors Garage Area
Area of Decks I Finished Basement
Storage
Unfin. Basement
No. Baths I No. Stories No. Rooms [No. of Dwellings
II
CERTIFICATE Req'd.
of EXEMPTION
Enum, Dist. I Location (Area)
Ownership USE CODE
Public 0 Private ❑
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
DATE OF APPLICATION March 20 , 1981 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
1- Gas Furnace 130,000BTU's
1 - Gas Water Heater 42,000 BTU's
1 - Add 0n Heat Pump
1 6" Save Fuel ape
1 - 4" Ameri-Therm Dampor
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd. 1Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
30.00
TOTAL
$ 30.00
PERMIT NUMBER
(I- —2.7 ;
04* *30,00
* 30,00
* 30.006
A *0,00 ES
27852
03-26-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'3 -? 6;-8'1.
278.6z
*3QOOa. -
DATE ISSIIFn