1988, 12-14 Permit App 88004006 MasonryINFORMATION WORKSHEET
PERMIT USE: S
CONTRACTOR. LICENSE NUMBER: -
CONTRACTOR::
PARCEL NUMBER: 3 -?�-98.-7 /
STREET ADDRESS: E. 14324 Broadway
CITY/STATE/ZIP: Spokane, WA 99206
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: f42 C-W F/A: WIDTH: C DEPTH: f (k R/W:
#.OF BUILDINGS:
A OF DWELLINGS: WATER DISTRICT:
ik Jj1-
CY0.Lr(.15
OWNER: J. T. & Mary Kapper PHONE: 206 226=1700
MAILING ADDRESS:.. 15914 S.E. 182nd Place, Renton; WA 98058
CITY/STATE/ZIP:
Dorothy M. DeCroff, Manager
CONTACT: Prim Group, Inc
PHONE: 509 - 922. - 3944
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
.�
BUILDING INFORMATION
PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS:
OCCUPANT LOAD: BUILDING HGT:
BUILDING DIMENSIONS:
STORIES:
X (WIDTH-X DEPTH) SQ. FT.:
REQUIRED PARKING: HANDICAP: SEWER (Y/N): HYDRANT:
MN mizaren now
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Spokane, WA 99207
SOOT
NORTHSIDE •483-
7668
SOOT
SOUTHSIDE •838-
7668
SOOT
VALLEY •922-
7668
"Your Safety is Our Service"
Stale Contractor's Registration No. OA-KENG52,OLH
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CUSTOMER COMMENTS
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Number with Payment
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SUB TOTAL f
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3RD'DEGREE CREOSOTE• PRESENT. 'A hard or
I sticky tar normally caused by wet or green wood, long
enods between cleanings, very low fires or combinations of all. There
la/ be enough creosote remaining for an immediate chimney
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co
TOTAL
NOTE: This sheet is the result of a visual inspection done at the time
of cleaning. It is intended as a convenience to our customers, not as
a certification of fire worthiness or safety. Since conditions of use
are beyond our control, we make no warranty of the safety or function
of any appliance and none is to be implied.
OAKENSHIELD CHIMNEY SERVICE
FLUE
ZiiER --
FLUE 1
LINTEL
/
i
i
DAMPER �
FIREBOX
1111
i
HEARTH
ASH PIT _
DOOR
CHIMNEY
CAP
SMOKE
CHAMBER
SMOKE
SHELF
\ THROAT
ASH
DUMP
ASH
PIT