1983, 11-29 Permit 83B-322 InspectPLAN NUMBER
APPLICANT
▪ ET •a>aEss
(. 9516 First Ave
2.
OWNER
3 Carl Koeller
4E. 9516 First
A STURM litg,
0'. 204 Indiana
G ER
5. JO.
6
6.
9.
o.ANG Of usE EMOM
sPOKANEcouAPPLICATION%PERMIT
DEPARTMENT OF BUILDING & SAFETY
NORTH all JEFFERSON / SPOKANE, WASHINGTON e9890 / (509) 4563875
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL M0.
926-5511
11/Y63EE
OFPE 0 HEW 'MALT. 0 AO•
WORK 0 BLO. ❑ PIMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER
sL.ME N.W
Install 2
EMUmaces
LEGALiLFIPT10N:
nom
weertia
Tps. Cow.
N. ran
Ocravree
wo. F0
N. D RPL. 0 PAVE. ®® _
renlacemen is
ELECT4
aMVAv EO
5IGNATURE
APPLICATION
OA TE
SPECIAL
SPECIAL APPROVALS
MEI.. FINAL DATE
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)
1 Porte tor1lly Met I Ian reed nr0 vema9a this 90Plvelion ary Mve read the 'NOTIC re..rse 9i0e, end Meow Me tame b M tree end parr9ot, All provieione of law. and ordinance. ProvNron. Mil type
9 on
.iti De complied on •M9Mr ePec1Ph0 herein or not. The grantingtgoverningresume Mil type o.
s.
Morrty Kt .ewer or roamer Me on:UV . W a r of a permit Oov not presume to give ce ttrme...an. SEER R5E St0EF R RE 1REO IN 5per oNSor local w rap ulallnp mnalruclyR or the performance
OvvNER OR AGENTA
MAN
SE PA
No 0.Ma
FEES COLLECTED
• W/
• Nwr.
15.00
10.00
ern. RP .14,1
TOTAL S 25�00
0a• •2'00
•25008
P. •Cr0 8
IV-12-83
a 4874.
A.I
W
OWNER
CONTRACTOR
NSE W FINAL INSPECTION: 1/
SET BACKS
DATE REMARKS:
/(- l
INSPECTION RECORD
LOCATION
TYPE OF WORK