1983, 10-13 Permit: 83B-380 Mechanical FixturesPLAN 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 PARCEL NO.
13715 E. 28th
LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2.
OWNE PHONE PHONE
upper Const.
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
992o6
E . 1424Sprague a okane ,
North South East
West
CONTRAACiTQR dorf Furnace
j e n
g
LICF, /VjXP 'Y
(�) 11/ UU � F
O
' 08252
Size of Parcel
Zone Classification
Residential --
Commercial C
4.
ADDRESS 11 Trent Spokane
93. p
ZIF�C�'�o6
/ 77
Type Const.
Occupancy
Sprinklered
►
El Yes El 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
CHANGE OF USE FROM
TO
TO
Cover Deck
Cover Deck
Uncv. Deck
T
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE M*EW El ALT. ❑ AD' N. ❑ RPL. 17MVE.
7. �F ❑ OTHER
WORK ❑ BLD. ❑ PLMB.X1 MECH. ❑ M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No[-]
Number
or Variance
Received
Yes No-]
DESCRIBE WORK '75 000BTU o , oo
Shorelines/ Flood Hazard
Plans Required Ll
�
8
- as 'Water Heater
Yes Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
P� WATELICR
SEPTAL E
I
Ownership
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
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
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 APPLICATI o
J. Archer °�0/1-1-/83
OWNER OR AGENT DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building l0 IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
PERMIT NUMBER
2.
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-13-; 380°
DATE ISSUED PERMIT NO.
*24002
TOTAL
CL
O
V
W
J
LL