1983, 12-06 Permit: 83B-2289 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
E. 13113 Semro
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
Colonial Contractors
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
P. 0. Box 14107,Spokane Wn.
4.
CONTRACTOR
Aldendorf Furnace
21 LICENSE EXPIRES
7/31/84
ZIP
99214
Actual Set Backs in Feet to:
North 'South East I West
PHONE
928-8252
Size of Parcel I Zone Classification
Residential ❑
Commercial ❑
ADDRESS
E. 9311 Trent, Spokane, Wn.
ZIP
99206
Type Const.
Occupancy
Sprinklered
❑Yes No ❑ Req 'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE NEW ❑ ALT. E AD'N. ❑ RPL. ❑ MVE.
7. OF
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M.H. E POOL
❑ OTHER
N0. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes No❑
Received Yes❑ No❑
Number
DESCRIBE WORK
8 1- 22 Ton Heat Pump
Shorelines/Flood Hazard Plans Required ❑
Yes0 Not Applic. ❑ Received 0
VALUATION
9.
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 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
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 APPLICATION
OWNER OR AGENT J. Archer DATE 12/3/83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
t PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
1�
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
14.00
TOTAL $ 14.00
PERMIT NUMBER
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12-06-8
DATE ISSUED
0
PERMI N�.
*1 .0 0 Q44AL