1990, 02-12 Permit: 90000507 Gas Furnace, PipingSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit /application, state that the information contained in it and submitted by me or my agent to compile said 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. l understand that the i . nce of this permit /application and a ubsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violateorca :a t e pr. visions of any sta)hpr .calla _a! . ling construction, ores a warranty of conformance with the provisions of any state or local
laws regulating construe.
SIGNATURE OF APPLICATION
OWNER OR AGENT' ► l DATE
PROJECT NUMBER= 90000507
T Sl:1F:OI`'(_F31 f.f. 0 PAGE= (ty1
*********** df3f• 7F**Ai• #*#*l{•ifdi••iF #3f* PERMIT INFORMATION * * * * * * ******• **•*•* •* ***nth *•****•
SITE STREET= 2207 S ADAMS RD PARCEL 4= 26541-1636
ADDRESS= VERADAL.E WA 99037
PERMIT USE= GAS FURNACE & PIPING
PLATO= 002748 PLAT NAME= VERA
BLOCK= I._O'1'=:: ZONE= AC ;RI I)):ST4= F
AREA= F /A= F WIDTH= 150 DEPTH= 530 R /W:
OF } ?LDGS == ;E DWELLINGS= i
OWNER= MATHEWS, ERNE.ST PHONE= 509 926 6786
STREET= 2207 S ADAMS RD
ADDRESS= VERADALE WA 99037
CONTACT NAME == DON SIMONS PHONE: NUMBER:::: 509 92.4 5888
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
** * *•** * * * * * * ** * * ** * ** * * ** * ** *•** MECHANI.CAI... PERMIT ac• * * * * * * * *•u •re * *at *•x• * * * * * *at * **
CONTRACTOR= GAS SERVICE COMPANY
STREET= 610 N COLLINS RD -
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PHONE= 509 924 5888
QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS HTG E(UIP(100,000)BTU 1 12.00
GAS PIPING 1 1.00
* *** * * * * * * * *• * * *th * * * * * * * * * *x * *x* PAYMENT SUMMARY * * * * * * * * * * * * * * * * *• * * * * *t * * * * *•
PAYMENT DATE RECEI.PT4 PAYMENT AMOUNT
02/12/90 657 38.00
TOTAL DUE= .00 TOTAL_ PAID= :38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL_ PRMT 38.00 38.00 .00
38.00 38.00 .00
PROCESSED BY: WENDEL. GLORIA
PRINTED BY: WENI)EL, GLORIA
***** *•* * * * * ** * **•x * * * * * *• * * *x * ** **• THANK YOU ******** * ** * * * * * * * * * * * * * * *• * *.x..... ***