1983, 11-01 Permit: 83B-1156 Mechanical FixturesPLAN 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. N 4724 LARCH RD.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
TIIPP R CONST
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
F 12929 Sprng IS Spnkn a Gin•
CONTRACTOR LIdENSE EXPIRES
4 ALDENDORF FURNACE 7/31/84
ADDRESS
E. 9311 Trent Spokare, Wn.
DESIGNER
5.
ZIP
99205
Actual Set Backs In Feet to:
North 'South lEat West
PHONE
928-8252
Size of Parcel 1 Zone Classification
Residential O
Commercial 0
ZIP
99206
Type Const.
Occupancy
Spr nklered
DYes DNo DReq'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. FIoor 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 0 ALT. D AD. N. 0 RPL. D MVE.
7. OF ❑OTHER
WORK 0 BLD. D PLMB. Ox-MECH. D M.H. 0 POOL
•
No. Baths
No. Floors
No. Fin Rooms
No. Dwellings
Certili. of Exempt.
or Variance
Required VesO No0
Received Yes0 No❑
Number
DESCRIBE WORK 1— 40 gal gas water heater
6.1- 75,000 BTU Gas Furnace & 1 2 Ton heat pump
SEWAGE
SEPTIC 0
SEWER 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
X ..
ELECTRIC
XX
WATER
PUBLIC 0
PRIVATE 0
Shorelines/Flood Haze d
YesD Not ApoIIc.0
Plans Required 0
Received 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this app( 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 REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT J. Archer DATE L0/31/63
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Flre
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
'U (� 6.00
/_1-Aim(ir 0;9= I�r 00
,31:5 ,7/9/>4c
/70,1it`fT/70,1if = �
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
28.00
$ 28.0Q
PERMIT NUMBER
0 ""' I i 5 (Q
04* *2800
*28.00
A *000 S
11552
1.1-01-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'1=011-83
115,6ll *2.8.00.2r.
DATE ISSUED PERMIT NO. TOTAL