1983, 09-08 Permit: 83A-8765 Heat Pump PLAN NUMBER APPLICATION/PERMIT PE MIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY � — E7&T-
CNORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. I
1. 4216 N. Vercler Rd.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. David Beauchamp
MAILING ADDRESS, ZIP Actual Set Backs in Feet to:
N. 6 Vercler, Spokane 99206 North [South f East `west
CONTRACTOR LICE y,sSi EX'IR S PHONE Size of Parcel Zone Classification Residential❑
Aldendorf Furnace 7/31/84 928- 8252 Commercial❑
4. ADDRESSZ P Type Const. Occupancy Sprinklered
E. 9311 Trent, Spokane 99206 ❑Yes ❑No ❑Req'd. G ; * .i !i 00
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area * ;j 0
5. - : (. .,,
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement ? }
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE D NEW ❑ ALT. [ AD'N. ❑ RPL. CI MVE.
!;MVE. _ l zt r,
7. OF ❑ OTHER
WORK
0 BLD. 0 PLMB. kMECH. 0 M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ No❑
DESCRIBEO Shorelines/Flood Hazard Plans Required❑
8. 2 Ton Beat Pump Yes Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9OF
UTILITIES XX PUBLIC❑ SEPTIC❑
PRIVATE D SEWER CI 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 J. Archer APPLICATION /
OWNER OR AGENT DATE 81 2683 Mech. 14.00
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home
Prevent. a
O
Engineer Other(Specify) LU
W
J_
Utilities 14.00 LL
_ TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam.
Building
�/ PERMIT IS NULL AND VOID IF WORK
DAYS HAS NOT COMMENCED 9 =O 8 _ ] 6.5 z * 1 �+ Q a.0 _.1
Tech. 0DATE ISSUED PERMIT NO. TOTAL