1983, 04-11 Permit: 83A-2807 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 F. 10909 -11 Augusta
LOT
2.
BLOCK
SUBDIVISION
PARCEL NO.
OWNER
3. 'qo if land , Inc .
4.
5.
PHONE
MAILING ADDRESS
717 Pines Rd. Spokane
CONTRACTOR
Aldendorf Furnace
ADDRESS
E. 9311 Trent,
DESIGNER
ADDRESS
LICENSE EX IRES
3/2/84
Spokane
PHONE
ZIP
9206
PHONE
928 -8252
2199206
PHONE
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North South
East
Size of Parcel
IWest
Zone Classification
Type Const.
Occupancy
Residential ❑
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
CHANGE OF USE FROM
6.
ZIP
TO
TYPE ED NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. PI MECH. El M.H. ❑ POOL
DESCRIB WORK
8. 2- l Ton York Heat Pumps
VALUATION
9.
SOURCE
UTILITIES
Main Floor
Upper Floors
Garage /Storage
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes
No❑
Received Yes❑ No f7
Number
Shorelines /Flood Hazard
Yes Not Applic. ❑
Plans Required ❑
Received ❑
GAS
ELECTRIC
xx
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
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
OWNER OR AGENT J. Archer
SPECIAL APPROVALS
PRELIM. FINAL DATE
APPLICATION
DATE
4/5/83
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
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
Other (Specify)
19.00
TOTAL $ 19.00
PERMIT NUMBER
03/V 2-So7
4* *19,00
*1 9.006
A *0,00
28Q6:°
04 -11 -83
z 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04 -11 -83 280,72
DATE ISSUED
*19.00°
PERMIT NO. TOTAL
CL
0
V
LU
J