1983, 10-07 Permit 83B-089 Furnace-'LAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WAS'HINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ASS
• li'TE3Qr'iza6c-ov1/4JA--r
LOT
2.
OWNER
Gene Ressa
MAILING ADDRESS
4305 Broadway East
4.
BLOCK
CONTRACTOR
STURM Heating
ADDRESS
E. 204 Indiana
SUBDIVISION
PHO E
92 -4538
LICENSE EXPIRES
11/6/83
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TYPE ❑ NEW
7. OF
WORK ❑ BLD.
PHONE
ZIP
99206
PHONE
ZIP
99207
PHONE
ZIP
TO
X=1 ALT. ❑ AD' N. 0 RPL. ❑ MVE.
❑ PLMB.I7 MECH. 0 M.H. 0 POOL
0 OTHER
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North [South
Size of Parcel
Type Const.
[East West
Zone Classification
Residential ❑
Commercial D
Occupancy Spr'nklered
❑Yes ❑No ❑Req'd.
New Const. Valuation
Main Floor
Remode ed Valuation
Upper Floors Garage/Storage
Total Bldg. FioorArea
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Fin. Basement
Greenhouse
No. Fin. Rooms
Required Yes❑ No
Received Yes❑ No El
-i No. Dwellings
Unfin. Basement
Number
DESCRIBE WORK
Install as furnace
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
XX
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC E
SEWER 0
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public 0 Private 0
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 FO REQUIRED I SPECTIONS
SIGNATURE OF <� ,�� APPLICATION /
OWNER OR AGENT ��r LC_ f DATE f /
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Gas furnace (replacement)
80,000BTU's
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
6.00
Mech. 10.00
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
16.00
TOTAL $
PERMIT M °O7
04* *1600
*16006
A *0.00 0
10-07-83
s 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i0-0 - 8,95
DATE ISSUED PERMIT NO.
*16.00a.I—
TOTAL