1983, 07-13 Permit: 83A-6426 FurnacePLAN NUMBER APPLICATION/PERMIT PERMITNUMBER
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
1.
STREET ADDRESS 11705 E. 35th [LEGAL
ARCEL NO.
2
LOT BLOCK SUBDIVISION DESCRIPTION:
OWNER PHO PHONE
3 P�iTH Const. §�26-4922
MAILING A T3 Mica Park, Spokane ZIP 99206
4.
CONTRAj�� (.J-Lcllendorf Furnace LICENIEMv PHONE
/
ADORES$• 9311 Trent, Spokane ZIP99206
L
DESIGNER PHONE
5.
ADDRESS ZIP
s. CHANGE OF USE FROM
TO
�• OF 3 NEW El ALT. El AWN. El RPL. ElMVE.
❑ BLD ❑ PLM CSF ❑ OTHER
Actual Set Backs in Feet to:
North I South I East West
Size of Parcel Zone Classification Residential
Commercial ❑
Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Req'd.
New Const. Valuation Remodeled Valuation I Total Bldg. Floor Area
Main Floor
Certif I. of Exempt.
per Floors
Garage/Storage
Greenhouse
Cover Deck
or Variance
Uncv. Deck
Yes❑ No[-]
Fin. Basement
8 DESCRIBE WORK TT 1
1 11 KIIIJ Electric Furnace
Shorelines/ Flood Hazard
Plans Required ❑
Unfin. Basement
No. Baths
Received ❑
No. Floors
SOURCE
No. Fin. Rooms
ELECTRIC
No. Dwellings
WORK B• MECH. ❑ M.H. ❑ POOL
Certif I. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No[-]
8 DESCRIBE WORK TT 1
1 11 KIIIJ Electric Furnace
Shorelines/ Flood Hazard
Plans Required ❑
Yes Not Applic.❑
Received ❑
VALUATION
9.
SOURCE
GAS
ELECTRIC
WATER
SEWAGE
Ownership
UTILOITIES
XX
PRti —TE ❑
SEWER O
Public ❑ Private ❑
FEES COLLECTED
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 J. Archer APPLICATION
OWNER 7/8/83
14.00
OR AGENT DATE
Mach
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
Planning
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuiTech. mg IN 180 DAYS
SEPA
Modular/
MFG. Home
Other (Specify)
14.00 I
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-13-83 64?,6z
DATE ISSUED PERMIT NO.
*14.00°-�-j
TOTAL
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