1983, 08-23 Permit App: 83A 7640 Gas FurnaceINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NS E W
SET BACKS
FINAL INSPECTION:
DATE
..2 ir,7
REMARKS:
41-4../Air- ��
[PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 111 JEFFERSON I SPOKANE, WASHINGTON WHO I (5091 .55-5176
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1. ,Ox(i RKr: / 9
oC.
2.
1% hE
PARCty.NO.
1. 35 'L?
1207 • 5/ ��. E
4. �r><z.o� J �Z 1.I /�iJ' SfEs
� s;t
5-0 5 / _at,2
LEGAL DESCRIPTION:
9 3 o
QzPH.
ZIP
42!,1-
PP. Cunt
""8":'
DA.R•e
5. .GORE.
00..0E OP USE1.oe. TO
Row
COM' 0.1N
Mrs
Ger was I SW we
S__• ?win. berme.
PERMIT NUMBER
RV 7/.4/0
r•,1:11
04. .1800
76391
08-11-83
1 6479.
TYPE 0 NEW 0 ALT. 0 AO•N. O RPI. 0 MVE. D OTHER
7. FLAK 0 010- 0 PIMPUNIC(VHECH. 0 M.M. 0 POOL
wo
8. .000.E"."4"` �.i ,q0• Laid
EL E t«� ✓ CM.0 v: o E
001.4•5.1u*Nn�Es
Re
Irw
1 hereby Pettily that I have read and e.amlned 1Ma Hot/cation and haga reed the 'NOTICE' (1001.05. 101100.0 00
rantrae fide, and HRo. ine gam. to ha trw aflame/HU, All 0,001,100101 laws and or0ln.nce. gnrerlIng 1101. type 01
.0I 0,00,0 .Itn w5ther ,peclOMd herein or not. The granting of a permll dow not powwow to give ...
1Mrlty I0 e101ate 00 001.115 0T0Naio0a of any other state or local law regulating mne1100I10n or II. perlorman0e
P1 1451,011100. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION
O'::N RUO'RE CECT DATE
PECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE?
OM !mt.. MTE
Pure Rao,. O
.aye
FEES COLLECTED
/o•
Wu01,V
qn.w I10mMN1
Lce C-7)
TOTAL 5
HEN MACHINE VALIDATED IN THIS SPACE,