1982, 06-21 Permit M82A-5138 Heat PumpPLAN NUMBER
APPLICATION/PERMIT /F10520
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
m�
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
East 14203 Broadwa
LOT
BLOCK
OWNER
3
SUBDIVISION
ADDRESS
East 14203 Broadway
CONTRACTOR
STU)RM HEATTNG, TNC
ADDRESS
East 204 Indiana
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
D BLD.
❑ ALT.
❑ PLMB.
PHONE
926-6758
ZIP
99216
PHONE
325-4505
99207
PHONE
ZIP
TO
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL.
0 OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North South
East
West
Size of Parcel
Zone Classification
Area of Decks
Finished Basement Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. install heat pump system.
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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 6-16-82 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
4.50
Mech. 10.00
Plan Check
SEPA
Mobile Home
Other (Specify)
14.00
TOTAL $
04* * 1 4.00
*14001i
A *Q00
51372
06-21-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ing Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0i61'41' 4" 2.
51 5,8 z
DATE ISSUED PERMIT NO.
*14000°.17-I
TOTAL