1984, 02-29 Permit: 84A-1695 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
-- - SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 04A - / .‹761',2
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES —v PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. S . 1706 Wardson
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OW ER PHONE PHONE
3 eo . Paras
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
N . 2206 Pines Rd . . Spokane , Wa . 99206 North ISouth East Iwest
CONTRACTOR LICENSEEXPIRES P O Size of Parcel Zone Classification Residential❑
Aldendorf Furnace , Inc . 3/2/85 928-8252 Commercial El
4 ADDRESS 9 311 Trent S o k a n e W a. 9 2 0 6 Type Const. OccupancySprinklered
E p ❑Yes 0 N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. . - - -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck . Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE C}(NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes El No Number
or Variance Received Yes Non
DESCRIBE WORKShorelines/Flood Hazard Plans Required❑
8. 15KW . Electric Furnace including Duc' Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership
9 OF XX BIBLIC❑ SEPTIC❑ Public❑Private❑ FEES COLLECTED
OF
PKt ATE❑ SEWER❑
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
work will be complied with whether specified herein or not. The grantingof apermit does notpresume to Building
P P 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 2/27/84 20 .00
OWNER OR AGENT DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home
Prevent. d
O
Engineer Other(Specify) V
W
J_
Utilities IL
TOTAL $ 70 . 00
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE
Exam. THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED ,+
Building � /" .f � � IN 180 DAYS Q 2 -2 9 -8 4 1 �1 9.5 z * 2 �. :OTJAL
Tech. _ DATE ISSUED PERMIT NO.
v