1983, 06-27 Permit: 83A05791 FurnacePLAN 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. 7603 E. 10th
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
4.
5.
OWNER
N. W. Homes
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
E. 7520 Beverly, Spokane, `,lin.
CONTRA{ ndorf Furnace
ZIP
99206
LICF�PS
Pl2 -8252
Actual Set Backs in Feet to:
North (South {East I West
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
ADDRESS
E. 9311 Trent. Spokane. Wn.
DESIGNER
ADDRESS
ZIP
99206
PHONE
Type Const.
Occupancy
Spr'nklered
❑Yes ❑No ❑Req'd.
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE XI NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF ❑OTHER
WORK 0 BLD. ❑ PLMB. C MECH. ❑ M.H. ❑ POOL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes ID No
Number
DESCRIBE WORK
8. 1 `a] E1e tric Fu nate
O�
XX
9.
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Plans Required ❑
Received 10
VALUATION USOURCE TILITIES
GAS Fur
ELECT RIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Ownership
Public 0 Private 0
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 J. Archer APPLICATION 6/22/83
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
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
14.00
Other (Specify)
14.00
TOTAL $
PERMIT NUMBER
-'A-r77
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0627-85
DATE ISSUED
579.12 *1400aI-
PERMIT NO. TOTAL