1983, 08-11 Permit: 83A-7632 FurnacePENIT ItIUMBER
3 - 21032-
PLAN NUMBER
-APPLICATION/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
1.
16714 E. Heroy
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
Larry Peplinski
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
S. 1718 Vera Crest, Spokane
ZIP
99206
Actual Set Backs in Feet to:
North !South
East
west
4.
CONTRACTOR
Aldendorf Furnace
E. 9.311 Trent, Spokane
LICF,[ S Pl SE
POO -8252
Size of Parcel
Zone Classification
Residential 0
Commercial 0
ZIP 99206
Type Const.
Occupa cy
Spr nklered
0Yes DNo UReq'd-
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Reck
Uncv. Deck
Fin. Basement
Unf in. Basement
TYPE LtNEW 0 ALT. 0 AD' N. ❑ RPL. ❑ MVE.
!• OF 0 BLD. C7 PLMB. X MECH. ❑ M.H. ❑ POOL
WORK
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Cartltl. of Exempt.
or Variance
Required Yes❑ No0
Received YesD No❑
Number
6. °T ORI -15n Electric Furnace
Shorelines/Flood Hazard
YesD Not Applic.0
Plans Requ'red 0
Received 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
XX
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
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. 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 REOUIRED INSPECTIONS
SIGNATURE OFJ, Archer APPLICATION 8/10/83 10 8
OWNER OR AGENT DATE 3
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
71(
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 $ 14.00
_ 04* *14.00
*140106
A *000
763.1
08-11-83
2 6479.
O
V
W
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
w
08-11-83 763.21 *1400,20
DATE ISSUED PERMIT NO. TOTAL