1991, 10-14 Permit: 91006791 Heating Equip, Gas PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 pro -ed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS /NOTICE
provisions included herein and agree to comply wit
herein or not. I understand that the issuance of this p
give authority to violate or cancel the provis i ns of any
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT APPLICATION/Cy DATE
same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
mit /application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
tate or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
PROJECT t„ NUMBER- 91006791 9`! , ,3UE!_! {..1..-Rmi !
DATE= 10/14/9i PAGE= O j
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BUT
{.j
ADDR
ALKI
ANE WA
PERMIT USE= INSTALL HEATING EQUIPMENT
PLATO- 0047'c'
0 OF
TACT •••?f.
ING
PARCELO= 18544-0347
GAS PIPING
I 1... -: :: NAME- HUTCH :c N; - t ± s`' 'S ADD
IH-
.N....
WILLIAM / : PHONE= !: : 924 44:3
DAVIE
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s l......1 4 -- NUMBER- 509 +¢ .% S:} 4403
RIGHT- NA REAR= NA
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CONTRACTOR- =..5,;••-• t.1t.•.!;`;!::.!' *: ,'! °!O'e'41::.::..
ITEM DESCRIPTION QUANTITY 1'1::.E AMOUNT
PROCESSING FEE ' } . 00
1 r %• 1 :`. Y•! 1 t :t 1 ::. 1. ! U .1. !'` t•. '! '.'i':.i , 0 L,-; L;! t :5 l t,f '1 ?: %f,:%
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.1.N1s
**************K**************** . ! 1 ..'e • - **************************K
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t^ 1.i; '; 1'11::.1 •. + :`t t,t { "i {' {:.:: t•:` 'Y
PAYMENT .t.% A _1 :.
PERMIT TYPE
. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .
MECHANICAL " : (p
1''1''.1..1: 1::.:• l !::. ii;: Y ..S t.)s' {{ +? •..,
RECEIPTO
,00 TOTAL PAID.,
FEE AMOUNT
• 38.00
AMOUNT PAID
............. ...............................
38,00
PAYMENi AMOUNT
AMOUNT OWING
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