1983, 06-03 Permit: 83A-4786 Heat PumpVLAN NUMt$tH I AI`FLIk;A 1 ION/ 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 PARCEL NO.
1. N. 1707-09 Glenn Ct.
2LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuiTech mg 4' 7, IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
1
TOTAL $9.00 I
PERMIT N MBER e
J�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4078,65 *19.00TSIPL
DATE ISSUED PERMIT
a
O
V
LU
_J
I.L.
OWNER
PHONE
PHONE
3
Wolf land
MAILINGADW
�. 717 Pines Rd. Spokane
ZIP
99206
Actual Set Backs in Feet to:
North South East
West
CONTRACT
�1dendorf Furnace
LIC5NE �IRES
PHON
Size of Parcel
Zone Classification
Residential
4.
92882 2
Commercial ❑
ADDRESSE. 9311 Trent, Spokane
ZIP
Type Const. Occupancy
Type
sprinklered
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
s.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
T L$ NEW El ALT. El AD' N. 1:1 RPL. El MVE.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7
OF ❑OTHER
WORK ElBLD. ❑ PLMB. ,RMECH. ❑ M.H. ElPOOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DESCRRK 1
12 Ton Heat PUm
Shorelines/ Flood Hazard
Plans Required El8•
s
Yes Not Applic. ❑
Received ❑
9
VALUATION
SOURCE
OF
GAS
ELECTRIC
WATER
PUBLIC ❑
SEWAGE
SEPTIC ❑
I
Ownership
FEES COLLECTED
UTILITIES
1 X
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
1 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 compiled with whether specified herein or not. The granting of a permit does not resume to
P P 9 9 P P 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
OWNER OR AGENT J. Archer DATE 3 --�f- / '2
C ��T�
Mech. 19-n
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuiTech mg 4' 7, IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
1
TOTAL $9.00 I
PERMIT N MBER e
J�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4078,65 *19.00TSIPL
DATE ISSUED PERMIT
a
O
V
LU
_J
I.L.