1984, 02-14 Permit: 84A-1198 Furnace, PipingPLAN NUMBER
APPLICATION/PERMIT •
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES
JOB ADDRESS
1. E.106L20OCS Mis
LOS'—B
2.
3
4.
tv8 I
ISION.
1 LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
5.
OWNER
Mr. Moss
ADDRESS
PHONE
926-5222
CO!NACTOR
Heat Transfer, Inc.
ZIP
PHOn206
926-1883
ADDRESS
DE6IG1NE6R16 Montgomery
ZIP
99206
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North (South • East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
I�Ves ❑No ❑ Redid.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors 1 Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Untin. Basement
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
0 AD N.
51 MECH.
O RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Redid.
Recd.
Not Req'd.
DESCRIBE WORK
8. Install 100,000 BTU gas furn & extend pipin. 2'
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
X
ELECTRIC
WATER
SEWER
Ownership
Public Private 0
USE CODE
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 Isws 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 authority 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 INSPECT!
/[�7�/7N GCS,(n/
2/9/84 SIGNATURE OF APPLICANT Ytt// /Y
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilltle
Plans Examiner
SEPA Checkl st
Building TeCh n
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 20.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $?0.00
PERMIT NUMBER
04A - h 9B
1
04'4 *2000 i
*20.006
A *0.00 8
11978
02-14=84
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01,2 Eti 41.1J 3.1r41 i19,85 20.0;02I
DATE ISSUED PERMIT NO. TOTAL