1983, 07-13 Permit: 83A-6422 FurnacePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L-' APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
1 .
STREET ADDRESS PARCEL NO.
3221 S. Roble
2. LOT _[7BLOCK SUBDIVISION LEGAL DESCRIPTION:
OWNER Highview Acres PHONE PHONE
3.
MAILING ADDRESS
13903 E. Spragueq:Spokane
ZIP
99206
Actual Set Backs in Feet to:
North South East
West
CONTRACTOR
LICENSE EXPIRE
PHONE
Size of Parcel
Zone Classification
Residential ❑
ldendorf Furnace
7/31/84
928-8252
Commercial EJ
4
ADDRESS
E. 9311 Trent Spokane
ZIP
99206
Type ConstOccupancy
Sprinklered
Dyes. ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
FZI
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TOF YPE C�NEW El ALT. C1 AD' N. 11 RPL. 11 MVE.
7 El OTHER
WOR K ❑ BLD. ❑ PLMB. IRMECH. ❑ M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
arVariance
Received
Yes❑ No❑
DESCRIBE W RK
8• - 15Kfi Electric Furnace
Shorelines/ Flood Hazard
Plans Required ❑
Yes❑ Not Applic.❑
Received ❑
VALUATION
I SOURCE
GAS
ELECTRIC
I WATER
SEWAGE
Ownership
FEES COLLECTED
9•UTILOIF
XX
PRIVATE E ❑
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 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
OWNER OR AGENT J. Archer DATE
Mach. 1U' .00
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Utilities
SEPA
Plans I I I I PERMIT IS NONTRANSFERABLE
Exam, PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Buildingrf/� IN 180 DAYS
Tech./
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER
g�2Ac - 2
TOTAL $ 14. o I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-13-83 64222
DATE ISSUED PERMIT NO.
*1400°'
TOTAL
D
C
C
u
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