1983, 08-24 Permit: 83A-8136 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 8a 1
C-'
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 11116 E. 19th
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER Mike Hasley PHONE PHONE 1
3. MAII�JIiG14pDR s: Raymond Rd. Spokane ZI 206 Actual Set Backs in Feet to: i
�h 1l l 1� §9 North South East West
CON TOR LICEI,y�SE� IIjFe3 PF�Q Size of Parcel Zone Classification Residential❑
Al'd�endorf Furnace , Inc , (// ���O y2 -82 2 Commercial❑
4• ADD ESS ZIPType Const. Occupancy Sprinklered
E
E. 9311 Trent, Spokane , Wn. 992o6 ❑Yes ❑No ❑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 Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE LX NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OFD❑ BLD. ❑ PLMB.X MECH. ❑ M.H. El POOL OTHER Certifi.of Exempt. Required Yes No❑ Number
WORK or Variance Received Yes No❑
DESCRIBEWORK D8.
Electric Furnace Yes NotApplic.❑ Received ❑
VALUATION SOOURCE GAS ELECTRIC WAPUBTER
�SSEPWAC SEWAGE FEES COLLECTED
9• UTILITIES XX PRIVATE❑ SEWER❑ 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 Archer APPLICATION 8/18/83 Mech.. 1�.00
OWNER OR AGENT DATE L
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home >•
Fire a•
Prevent. c
ca
Engineer
Other(Specify) UJ
-J
LL
Utilities 14.00
00
,,. TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. ) PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED •o 21
Building ^- 8AY IN 180 DAYS DATE ISSUED F '� PERMn$41;.3.6 z *1 4 0 0 &rm.