1983, 10-28 Permit: 83B-1016 Heat PumpPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
0 I C4
9
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
XX
STREET ADDRESS
SEWER ❑
PARCEL NO.
1•
S.1909
David Rd.
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
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
OWNER
PHONE
PHONE
3.
Harry Klasseft
OWNER OR AGENT .
SPECIAL APPROVALS
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
iJ
Env. Health
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential 11
4.
Alderid,)rt Furnace
%/31/83
928-8252
1 1
Commercial El
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 9.311 Trent, .-,pUkarte
Un.
99206
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
a
O
Engineer En
g
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basem(
6.
_J
LL.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N.
)C RPL. ❑ MVE.
7
OF
El OTHER
Certifi. of Exempt.
Required Yes❑ No[;
Number
WORK ElBLD. ❑ PLMB. LJ�MECH. F1M.H. ❑ POOL
or Variance
Received Yes Nor
8•
DESCRIBE WORK
Shorelines/ Flood Hazard
Plans Required ❑
2"2- burl YUrk heat Puttip
Yes El Not Applic. ❑
Received ❑
VALUATION
SOURCE
OF
GAS
ELECTRIC
I WATER
PUBLIC E]
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
PERMIT NUMBER
0 I C4
9
UTILITIES
XX
PRIVATE ❑
SEWER ❑
Public ❑ Private [l
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-
Building
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
Plumbing
SIGNATURE OF APPLIJ
Archer DATE CATION I Z � 83
Mech. 14.00
OWNER OR AGENT .
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
>,
Fire
Prevent.
a
O
Engineer En
g
Other (Specify)
V
W
_J
LL.
TOTAL $ 14.00
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDAT
Pians THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building /,� IN 180 DAYS l (]
Tech. DATE ISStlED 2 8 -8 3
PERMIT NW 1. 6 z * 14 0 OTJ1�L