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1983, 10-12 Permit 83B-322 FurnaceSTREET ADDRESS 1. E. 9516 First Ave LOT 2. OWNER 3. Carl Moeller BLOCK SUBDIVISION RrrLR ATION/PERMIT 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 PARCEL NO. 10, MAILING ADDRESS E. 9516 First CONTRACTOR 4 STURM Htg. PHONE 928-5511 PHONE ZIP 99206 LEGAL DESCRIPTION: Actual Set Backs in Feet to: North ADDRESS E. 204 Indiana DESIGNER 5. ADDRESS LICENSE EXPIRES 11/6/83 PHONE 325-4505 ZIP 99207 PHONE Size of Parcel South Type Const. 1 Occupancy New Corst. Valuation East West Zone Classification Sprinklered Residential ❑ Commercial ❑ ❑Yes ❑No ❑Req'd. Remode ed Valuation Total Bldg. Floor Area CHANGE OF USE FROM TO ZIP Main Floor Upper Floors Garage/Storage Greenhouse Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE ❑ NEW SALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. E POOL ❑OTHER 8. DESCRIBE WORK Install 2 gas furnaces (replacements) VALUATION SOURCE GAS I ELECTRIC 9' UTILITIES f XX I I WATER PUBLIC D SEPTIC ❑ SEWAGE Ownership II PRIVATE 0 SEWER ❑ Public 0 Private ❑ I hereby certify that I have read and examined this appl'cation 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 REVERSEEIDE FOR REQIRED INSPECTIONS SIGNATURE OF OWNER OR AGENT No. Baths Certifi. of Exempt. or Variance No. Floors No. Fin. Rooms No. Dwellings SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. Shorelines/Flood Hazard Yes NotApplic. ❑ APPLICATION DATE SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) 2 gas furnaces over 100,000 BTUs ea 10.00 permit fee 15.00 mech fee (7.50 ea) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Required Yes❑ Non Received Yes No❑ Number Plans Required ❑ Received 0 FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 15.00 10.00 25.00 PERMIT NUMBER 3 322- u4* *2500 *25.0M A *000 321 10-12-83 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISOSUED 2 8 3 PERMIT NI) 2. 2 z * 2 5, 0 0 actirAL