1983, 04-11 Permit: 83A-2811 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
1.
2.
STREET ADDRESS
E. 10910 -12 Augusta
LOT
BLOCK
SUBDIVISION
PARCEL NO.
3
4.
5.
OWNER
°1o1fland. Inc.
PHONE
MAILING ADDRESS
S. 717 Pines Rd., Spokane
CONTRACTOR
Aldendorf Furnace
LICENSE EXPIRES
3/2/84
ADDRESS
E. 9311 Trent, Spokane
DESIGNER
PHONE
ZIP
99206
PHONE
928 -8252
ZIP
99206
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North 'South
Size of Parcel
East 1 West
Zone Classification
Type Const.
Occupancy
Residential ❑
Commercial ❑
Sprinklered
DYes ❑No ❑Req'd.
PHONE
ADDRESS
CHANGE OF USE FROM
6.
ZIP
TO
TYPE IZ NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. 2 MECH. ❑ M.H. ❑ POOL
New Const. Valuation
Main Floor
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Remodeled Valuation
Total Bldg. Floor Area
Upper Floors
Uncv. Deck
Garage /Storage
Greenhouse
No. Floors
Fin. Basement
No. Fin. Rooms
Required YesE No❑
Received Yes❑ Nor)
DESCRIBE WORK
8 2 -11-Ton York Heat Pumps
9.
VALUATION SOURCE GAS ELECTRIC
F
UTILITIES XX
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
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 APPLICATION
l5 /83
OWNER OR AGENT J. Archer DATE
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
Unfin. Basement
No. Dwellings
Number
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
19.00
Other (Specify)
TOTAL $
PERMIT NUMBER
g 3 - 2-b
04* *19:00
*19.006
A *0.00
281,C;
04 -11 -83
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04-11 -0
DATE ISSUED
281,12 *19.00°
PERMIT NO. TOTAL