1984, 04-11 Permit: 84A-3202 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
STREETADDRESS PARCEL NO.
�• 11823 E. 33rd
LOT BLOCK suBDIVISION LEGAL DESCRIPTION:
2.
OWNER
PHONE
PHONE
3—Tiltont ction
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
Rt. 1 Box 286,Spokane
99204
ISouth
North East
West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
A ndorf Furnace Inc.
3/2/85
928-8252
Commercial
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 9311 Trent, Spokane
99206
1
Dyes ❑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
Unfin. Basement
s.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TOF YPE �1XNEW 11 ALT. 1:1 AD' N. El RPL. ❑ MVE.
7. El OTHER
WORK ❑ BLD. El PLMB.AMECH. El M.H. El POOL
Certifi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
8 DESCRIBE WORK
Shorelines/Flood Hazard
Plans Required ❑
13KW Electric Furnace Duct Work
Yes El Not Applic.❑
Received ❑
VALUATION I SOURCE
9•
GAS
ELECTRIC
Xx
PUBLIC ATER❑
SEPTIC E
OwnershipOF
FEES COLLECTED
UTILITIES
PRIVATE ElSEWER
❑
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-
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
SIGNATUREOF J. Archer APPLICATION 4/9/84
20.00
OWNER OR AGENT DATE
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Engineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Tech. //
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER
M - 3 ZZ' -2- I.
TOTAL $ 20.00 I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE0IS3UEJ 1-84 PERMA162.0. 2 z
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