1983, 10-21 Permit: 83B-725 Heat PumpFLAN NUMt3tH
arrLI',a 1 ivro/ r�riMI 1
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.
N. 1108 Fox Rd.
PARCEL NO.
2.
3.
LOT
BLOCK
SUBDIVISION
OWNER
Lloyd Tiffany
MAILING ADDRESS
N. 1108 Fox Rd.,
PHONE
926-8975
PHONE
LEGAL DESCRIPTION:
Spokane
5P9206
Actual Set Backs in Feet to:
North [South
[East
lWest
4.
CONTRACTOR
Aldendorf Furnace
LICENSE EX [RES
7/31)84
PHONE
928-8252
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
ADDRESS
E. 9311 Trent, Spokane,Wn.
2199206
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑Req'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE ❑ NEW ❑ ALT. ❑ AD' N. 12 RPL. ❑ MVE.
7. OF BLD. ❑ PLMB.I MECH. ❑ M.H. ❑ POOL
WORK p
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes No❑
Number
DESCRIBE WORK
8. 2 Ton York Heat Pump
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Plans Required ❑
Received ❑
VALUATI5N
9.
SOURCE
UTILITIES
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 J. Archer
OWNER OR AGENT
APPLICATION 10/19/83
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
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
14.00
TOTAL $ 14-n0
FtHMI I NUMI:3tN
M15 --- 72.+7
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1�-21-°zz
DATE[ ED 1
•
PERMIT NO7 2 5 0 *14 0 OTBTp❑L