1983, 07-08 Permit: 83A-6298 Heat PumpsPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
STREET ADDRESS
1.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LOT I BLOCK
2. fl
OWNER
3.
10924 —,6 E. AUGUSTA
SUBDIVISION
?0 LF LAND
PHONE
MAILING ADDRESS
>, 717 PINES RDA SPOKANy
CONTRACTOR.
DENDORF FURNACE
4.
PHONE
ZIP
LICE 3 NS 2 /8RES
ADDRESS
E. 9311 TRENT, SPOKANE
5.
ADDRESS
DESIGNER
9206
CHANGE OF USE FROM
PHONE
ZIP
TO
TYPE )❑ NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. a MECH. ❑ M.H. ❑ POOL
DESCRIBE
VALUATIO-
9.
12 TON HEAT PUNIPD
SOURCE
UTILITIES
GAS
ELECTRIC
X
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North
South East
Size of Parcel
Type Const.
New Const. Valuation
Main Floor
Cover Deck
No. Baths
West
Zone Classification
Residential ❑
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
Remodeled Valuation
Garage /Storage
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑ No❑
Received Yes❑ Nofl
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
OWNER OR AGENT DATE 5/19/83
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 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)
19.00
TOTAL $
PERMIT NUMBER
&;._77€2
04* * 1 9,00
* 1 9,00<5
A *000 8
629,72
07 -08 -83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE1S7SUECP 8 - 8 3
PERMI5Ng.9' 8 z * 19. 0 0 tdTAL