1983, 10-13 Permit: 83B-382 FurnacePLAN 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
4717 N. Conklin
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
Tupper Const.
PHONE
PHONE
PARCEL NO.
LEGAL DESCRIPTION:
MAILINGADDR SS
E. 12929 Sprague, Spoane
ZIP99206
4.
CONTRACTOR
Aldendorf Furnace
LICENSE EXPIRES
7/31/84
PHONE
928-8252
Actual Set Backs in Feet to:
North 'South
Size of Parcel
East I West
Zone Classification
ADDRESS
E. 9311 Trent, Spokane
99206
Type Const.
Occupancy
Residential E
Commercial E
Sprinklered
❑Yes No ❑Req'd.
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
PHONE
ZIP
TO
TYPE a NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OFWORK ❑ BLD. ❑ PLMB. a MECH. ElM.H. ❑ POOL OTHER
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
Main Floor
Upper Floors
Garage/Storage
Greenhouse
Cover Deck
No. Baths
Certif1. of Exempt.
or Variance
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Floors
No. Fin. Rooms
No. Dwellings
Required Yes No
Received Yes❑ No❑
Number
8.
DESCRIBE WORK Shorelines/Flood Hazard Plans
VALUATION
9.
15KW Electric
SOURCE
UTILLIITIES
GAS
Furnace
ELECTRIC
XX
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Yes NotApplic. ❑
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
OWNER OR AGENT J. Archer DATE 10111/83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
iv. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERA'BLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Required E
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
14.00
TOTAL $ 14.00
PERMIT NUMBER
04* *14,00
*14.00,5
A *0.00
3812
10-13-83
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE IS IJED 1 3+ G`'3
PERMIT NO,3 8. 2 z:
*140 OT*