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