1983, 05-06 Permit: 83A-3746 FurnacePLAN NUMBER
APPLICATION/PERMIT
.SPOKANE COUNTY — DEPARTM"ENT 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. 3416 S. -Fox Ct.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
MTH Const.
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
S. 1505 Mica Park
ZIP
99206
Actual Set Backs In Feet to:
North ISouth [East I West
4.
CONTRACTOR
Aldendorf Furnace
LI 3/2Ej id ES
9nE 8252
Size of Parcel
Zone Classification
Rmidential 0
Commercial 0
ADDRESS
E. 9311 Trent, Spokane, INn.
Z§9206
Type Const.
Occupancy
Spr nklered
Oyes ONo DAN' 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
Unev. Deck
Fln. Basement
Unf in. Basement
TYPE EXNEW O ALT. 0 AD' N. 0 RPL.
7. OF ❑ BLD. 0 PLMB. Ca MECH. 0 M.H
WORK
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Cert,. of Exempt.
or Variance
Required VesO No0
Received VesO No❑
Number
8.
DESCRIBE WORK
20KW Electric Furnace
Shorelines/Flood Hazard
Yes❑ Not Apollc.0
Plana Req ired 0
Received 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
XX
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownershlp
Public 0 Private 0
I hereby certify that I have read and examined this appl cation and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. Alt 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
OWNER OR AGENT J. Archer DATE
5/4/83
SPEC?.41. 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)
TOTAL $ 14•00
PERMIT NUM 3 7
04* *14.00
*14,00
A *G00
374.58
05-06-83
g 6479
0
d
O
V
W
J
ii
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
051r06:78.5 )7462 *14000-.
DATE ISSUED - PERMIT NO. TOTAL