1983, 06-03 Permit: 83A-4788 Heat PumpPLAN NUMBERI APPL ICAT ION /PERMIT
PERMIT NUMBER
IL
4 J
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 PARCEL NO.
1. N. 1702-04Glenn Ct.
LOT
BDIVISION
LEGAL DESCRIPTION:
2. ]7"
OWNER
�l01f land
PHONE
PHONE
3
MAILING ADDRESS
S. 717 Pines Rd Spokane
ZIP
99206
Actual Set Backs in Feet to:
,
North South East
West
CONTRACTOR
Aldendorf Furnace
LICEN P
��
P
129-8252
Size of Parcel
Zone Classif ication
Residential
4
Commercial ❑
ADDRESS 9311 Trent Spokane
p
zIP 99206
Type Const.
Occupancy Sprinklered
❑Yes ONO ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unf in. Basement
s.
No. Baths No. Floors No. Fin. Rooms No. Dwellings
TYPE ?] NEW ❑ ALT. 11 AD' N. 11 RPL. 11 MVE.
7. OF ❑OTHER
WORK El BLD. ❑ PLMB.%] MECH. ElM.H. E] POOL CertifI.ofExempt. Required
Yes❑ NOD Number
or Variance Received
Yes❑ Non
R� Shorelines/ Flood Hazard
8 D Gi 1�/Q,LP%n Heat PUMPS
Plans Required ❑
Yes❑ Not Applic. ❑
Received ❑
VALUA ION SOOFCE GAS ELECTRIC PUBLTER SEWAGE
IC ❑ SEPTIC ❑ Ownership
9• XXX
FEES COLLECTED
UTILITIES PRIVATE ❑ SEWER ❑ 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-
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 APPLICATION /
J ARCHER 5/20 83
1900
OWNER OR AGENT . DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
Fire
MFG. Home
>_
Prevent.
d
�
Engineer
Other (Specify)
V
W
J_
Utilities
19.00
LL
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Exam.
NULL AND VOID IF WORK HAS NOT COMMENCED
o J
! 6, S z * 19.0 0 a
PERMIT IS
Building
fi 6 — �) — i
I
Tech. IN 180 DAYS
DATE ISSUED PERMIT NO. TOTAL