1984, 01-16 Permit: 84A-428 Mechanical FixturesPLAN NUMBER I APPL IIGA1,10r+/ PERM IT
SPOKANE COUNTY — DEPARMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
STREET ADDRESS
1.
LOT I BLOCK
2.
OWNER
z Jim Seipp
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
S. 1320 Kahuna
SUBDIVISION I LEGAL DESCRIPTION:
MAILING ADDRESS
E. 14314 6th, SpokanE
CONTRACTOR
4 Aldendorf Furnace
ADDRESS
E. 9311 Trent Spokane
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
PHONE
Residential ❑
Zip
99206
Commercial ❑
LICENSE EXPIRES
7/31/84
PHONE
928-8252
rActualWa
ZIP99206
uation
PHONE
New Const. V
Required
ZIP
I Main Floor
Cover Deck
No. Baths
South I East I West
PE—R IT NUMBER
Q' -12-6
TYPE gNEW ❑ ALT. ❑ AD'N. ❑ RPL.
cone,_iassmcauon
Residential ❑
Commercial ❑
7 OF
Occupancy
Sprinklered
Ll Yes ❑No ❑Req'd.
uation
Remodeled Valuation
Total Bldg. Floor Area
Required
Yes El No F.I.
Number
Upper Floors
Garage/Storage Greenhouse
Yes❑ Nor]
DESCRIBE WORK
Uncv. Deck
Plans Required El8
Fin. Basement
Unfin. Basemi
Yes ❑ Not Applic. ❑
Received El
VALUATION
I SOUREFT
OF
GAS
ELECTRIC
No. Floors
SEWAGE
SEPTIC ❑
No. Fin. Rooms
No. Dwellings
PE—R IT NUMBER
Q' -12-6
TYPE gNEW ❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
14.0 0
7 OF
❑OTHER
TOTAL $
WORK ElBLD. ❑ PLMB. ❑XMECH. C M.H.
ElPOOL
Certifi. of Exempt.
Required
Yes El No F.I.
Number
or Variance
Received
Yes❑ Nor]
DESCRIBE WORK
Shorelines/Flood Hazard
Plans Required El8
• 3 T o n Heat Pump
Yes ❑ Not Applic. ❑
Received El
VALUATION
I SOUREFT
OF
GAS
ELECTRIC
WATER
PUBLIC ❑
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9 UTILITIES X X PRIVATE ❑ SEWER ❑ 1 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 Building
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 Plumbing
SIGNATURE OF J. Archer APPLICATION 1/13/84
OWNER OR AGENT DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
Other (Specify)
14.00
ummes
14.0 0
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
Plans
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech.
*7
] /
/ iL
IN 180 DAYS
11 1 _ G
b
DATE�s4UEDi- C
<W
PERMIT N6.2 8 z * 14. 0 0 MOO IJTAL
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