1983, 09-12 Permit: 83A-8941 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. 11015 -17 Augusta Ct.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER Wolf land, Inc .
PHONE
MAILING AD ESS
. 717 Pines Rd. Spokane
CONTRACTO
Aide Furnace
4. ADDRESS E. 9311 Trent, Spokane
LEGAL DESCRIPTION:
PHONE
ZIP99206
Actual Set Backs in Feet to:
North (South
East
'TM -8252
Size of Parcel
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
ZIP 99206
PHONE
ZIP
TO
TYPE k NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. ❑OTHER
WORK ❑ BLD. ❑ PLMB. CXMECH. ❑ M.H. El POOL
8. DESCRIB )IK 12 Ton York Heat dumps
9.
VALUATION SOURCE GAS ELECTRIC
UTILITIES XX
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Type Const. Occupancy
New Const. Valuation
Cover Deck
West
Zone Classification
Residential ❑
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
Remodeled Valuation
Total Bldg. Floor Area
Garage /Storage
Uncv. Deck
No. Floors
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑ No
Received Yes ❑ No ❑
Shorelines /Flood Hazard
Yes El 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 826/83
OWNER OR AGENT DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT 15 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)
19.00
TOTAL $
PERMIT NUMBER
fr.311\ -ei7H
4*
A
894.02
09 -12 -83
6,479•
*1900
*19.006
*0,00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
n Yr. ,
DATE 9UED1
PERMI1413. 4,1 z *1 9. U 0 4AL