1991, 12-26 Permit: 91007987 Re-Inspection Gas Water Heater & PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 AROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained / it u submitted »v me or my agent m compile said permit/application permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 91007987 ISSUED PERMIT
DATE= 12/26/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 23 N ADAMS RD PARCEL4= 14543-3018
ADDRESS= SPOKANE WA 99216
PERMIT USE= HEATING EQUIPMENT, GAS WATER HEATER, & PIPING (2)
PLATO= 002778 PLAT NAME= VERADALE HOMES i%T ADD
BLOCK= i LOT= ZONE= UR-3.5 DI%TO=
A= F/A= F WIDTH= DEPTH= R/W=
� OF BLDG'S= i 0 DWELLINGS= i WATER DIST =
OWNER= PURCELL, LEW PHONE= 509 928 4054
STREET= 23 N ADAMS RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= AIRE VALLEY HEATING & COOLING PHONE NUMBER= 509 924 0018
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= AIRE VALLEY HEATING & COOLING PHONE= 509 924 0018
STREET= 52i N ELLA RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------- --- ----------
PROCESSING FEE Y 25.00
GAS WATER HEATER 1 10.80
GAS HTG E UIP<iOO,OOO>BTU i 12.00
GAS PIPING 2 2.00
RE-INSPECTION FEE i 50.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT-4 PAYMENT AMOUNT
11/19/91 8811 49.00
12/26/91 9662 50.00
----
TOTAL DUE= .00 TOTAL PAID= 99.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- -----
MECHANICAL PRMT 99.00 99.00 .00
99.80 99.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY` JOHN LARSOH
******************************** THANK YOU *********************************