1983, 10-20 Permit: 83B-633 FurnacePLAN NUMBER APPL ICAT ION /PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY �J
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS N - 1PARCELNO.
�. 4719
LOT 1716LO"UBDIVISION
2.
OWNER PHONE PHONE
3. —Tupper Const.
MAILING ADDRESS ZIP
E. 12929 Sprague, Spokane 99206
CONTRACTOR LICEj7j,f;Tq. Pj N —8252
4 Aldendorf Furnace (/ j1/ o�Y `�LtS
ADDREE. 9311 Trent, Spokane 19206
DESIGNER PHONE
5.
ADDRESS ZIP
CHANGE OF USE FROM
6.
TO
TYPE X NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
7 OF ❑OTHER
WORK ❑ BLD. I-]PLMB. IXMECH. 1:1M.H. ElPOOL
North South East I West
Size of Parcel Zone Classification Residential ❑
Commercial ❑
Type Const Occupancy Sprinklered
❑Yes ❑No ❑Req'd.
New Const. Valuation Remodeled Valuation I Total Bldg. Floor Area
Main Floor
per Floors
Garage/Storage
Cover Deck
Uncv. Deck
Fin. Basemen
No. Baths
No. Floors I
No. Fin. Rooms
or Variance Received Yes❑ No❑
Shorelines/ Flood Hazard Plans Required ❑
8 r��v y� 1-15KT1V Electric Furnace Yes❑ Not Applic. ❑ Received ❑
VALUATION I SOURCE GAS ELECTRIC WATER SEWAGE I Ownership FEES COLLECTED
9 OF PUBLIC ❑ SEPTIC ❑ public El Private ❑
UTILITIES XX PRIVATE ❑ SEWER El
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-
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 J. Archer APPLICATION 10/18/83
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Engineer
Utilities
Pians i i i I PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building i:+% IN 180 DAYS
/,Z1
Building
Plumbing
Mach. 14.00
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $ 14.00 I
WHEN MACHINE VALIDATED IN THIS SPAC
THIS BECOMES A PERMIT.
iO-20-` J 63,32
DATE ISSUED PERMIT NO.
TOTAL
L