1983, 07-08 Permit: 83A-6302 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
E. 11014 -16 AUGUSTA
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNER -,JOLFLAND
3.
PHONE
MAILING ADDRESS
S. 717 PINES RD SPOKANE
CONTRACT
A DENDORF FURNACE
4.
LI0E765 5t8ES
PHONE
ZIP 99206
LEGAL DESCRIPTION:
ADDRESS E . 9311 TRENT SPOKANE
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
PTZS -8252
ZT9206
PHONE
ZIP
TO
TYPE 1(.. NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. E MECH. ❑ M.H. ❑ POOL
Actual Set Backs in Feet to:
North South
Size of Parcel
East
Type Const.
Occupancy
New Const. Valuation
Main Floor
West
Zone Classification
Residential ❑
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
Remodeled Valuation
Upper Floors
Cover Deck
No. Baths
Certif1. of Exempt.
or Variance
Total Bldg. Floor Area
Garage /Storage
Uncv. Deck
No. Floors
DES RIB WORK
2 it TON HEAT PUMPS
VA ATI N SOURCE GAS
9 • UTILITIES
ELECTRIC
x
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes No
Received Yes ID Non
Shorelines /Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public ❑ 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 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 J .ARCHER APPLICATION 5/20/83
OWNER OR AGENT DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
P
7/
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
19.00
Other (Specify)
TOTAL $
19.00
PERMIT NUMBER
04* *1900
* 1 9,006
A *000
630,1g
07 -08 -83
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE I�SUED
z-08-83
6 7.0.2 5
PERMIT NO.
*19.00
TOTAL