1983, 09-12 Permit: 83A-8939 Heat PumpsPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. 11009 -11 Augusta Ct.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
4.
OWNER
Wolf land, Inc.
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING DRF,Ss y Pines Rd.,
CONTRACTOR 1
Aldendorf Furnace
Spokane
ZIP 99206
Actual Set Backs in Feet to:
North South
[East
West
LICF7JIPM
Pm -8252
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
ADDFr.S 9 311 Trent ,
Spokane Wn.
ZIP99206
Type Const.
Occupancy
Sprinklered
EYes ❑No ❑Req'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage /Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
TYPE k1 NEW ❑ ALT. ❑ AD' N.
7. OF
WORK ❑ BLD.
❑ PLMB. 5i MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
8 DESCRIBE WOr(K2
VALUATION
9.
12 Ton York Heat Pumps
URCE
UTILITIES
GAS
ELECTRIC
xx
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Cover Deck
No. Baths
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes No
Yes Nor]
Number
Shorelines /Flood Hazard
Yes❑ Not Applic. ❑
Plans Required ❑
Received ❑
Ownership
Public ❑ Private ❑
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 au-
thority 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
SIGNATURE OF APPLICATION
OWNER OR AGENT J- Arc her DATE a/26/84_
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
19.00
Other (Specify)
19.00
TOTAL $
PERMIT NUMBER
&.A\ - 37
4x *19.00
*19,006
A *000
393,82
09 -12 -83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9 -12 -83 893,9(5
DATE ISSUED PERMIT NO.
*19.00°1-
TOTAL