1983, 11-23 Permit: 83B-1969 FurnacePLAN NUMBER
APPLICATION /PERMIT PERMITNUMBER
No. Floors
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY?'
No. Dwellings
TYPE M NEW El ALT. El AD'N. El RPL. El MVE.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
PARCEL NO.
1.
4.723 N. Sunnyvale
LOT
BLOCK
SUBDIVISION
WORK ElBLD. ❑ PLMB. CXMECH. ❑ M.H. ElPOOL
LEGAL DESCRIPTION:
or Variance
2.
DESCRIBE WORK
8
I
Pians Required ❑
1 15KW Electric Furnace
Yes❑ Not Applic. ❑
OWNER
VALUATION
PHONE
PHONE
Isizao
3•
Tupper Const.
SEWAGE
SEPTIC ElFEES
Ownership
COLLECTED
DATE
MAILINEDD79929 Sprague, Spokane
Actual t ksinFeet
��LLL
h
North South East West
North
SEPA
CONTRACTOR
LIC S %
QA -8252
Zone Classif ication
Residential ❑
Modular/
4
Aldendorf Furnace
MFG. Home
17
Commercial ❑
ADDRESS
Prevent.
Type Const.
Occupancy
Sprinklered
C
E. 9311 Trent, Spokane, Wn.
19206
❑Yee ❑No ❑Req'd.
C
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5•
u
u
Utilities
ADDRESS
TOTAL $ 0
ZIP
Main Floor
r Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
v. Deck
TUn
Fin. Basement
Unf in. Basement
s.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
- 0 'j -2
o '
Building
(i
9
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE M NEW El ALT. El AD'N. El RPL. El MVE.
Public ❑ Private ❑
7• ❑OTHER
OF
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
Certifi.ofExempt.
Required Yes❑ No❑
Number
WORK ElBLD. ❑ PLMB. CXMECH. ❑ M.H. ElPOOL
or Variance
Received Yes❑ No❑
DESCRIBE WORK
8
Shorelines/ Flood Hazard
Pians Required ❑
1 15KW Electric Furnace
Yes❑ Not Applic. ❑
Received ❑
VALUATION
I SOURCE
OF
GAS
ELECTRIC I
WATER
PUBLIC ❑
SEWAGE
SEPTIC ElFEES
Ownership
COLLECTED
9
UTILITIES
XX
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
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 11/21/83
14 .o0
OWNER OR AGENT DATE
Mecn.
SPECIAL
APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL
DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
17
Fire
Prevent.
C
Other (Specify)
C
Engineer
u
u
Utilities
TOTAL $ 0
SEPA
PERMIT IS NONTRANSFERABLE
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Pians
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
- 0 'j -2
o '
Building
(i
Tech.
'
,zI
DATE ISSUED PERMIT NO. TOTAL