1989, 10-19 Permit: 89004166 Gas FurnaceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROA,pWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456 -3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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
APPLICATION
IlATE
PROJECT NUMBER- l:t''}i °i:i.S 1,':6 pitfF • 10'I9/rS9 PAGE= !
ISSUED iIY.1:j PEF M.i .I..
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SITE STREET= 1221 S ADAMS RD PARCEL4=
ADDRESS= ;,` I:: r, A r :' {:; }... }::. WA 99037
,
PERMIT USE- GAS FURNACE
3 34f,
PLAT4= 003970 PLAT NAME= SP-295
BLOCK= LOT= t .... :: ZONE= }•!lai!. i. 1).1.:', ! •,,.....
0 OF !:5I...z1G,. :::: -!!' IrIFt...t....t.t.(v,,; =:: 't
OWNER= i... t••! y .I. # +# }::. , PATRICK
STREET- ............ . . DALE !',...
ADDRESS= SPOKANE WA 99212
509 22 1551::. .
CONTACT NAME= ED MERTENS — A & M PHONE NUMBER= 509 928 2-100
BUILDING : ! : R C ` : FRONT.. ` i LEFT- # ' RIGHT= A REAR= NA
-;r r+r ;!r ii `.• :; 1 �:...... ...... ........... .... MECHANICAL _ ...... .i i .'r 7!i ii!r :!i i:!r •f!: it •JI l .i •Pi i�: t!l• i!% •N: '!!r i:...:!i !i IL• ;�i -i!r i!. �r tc
CONTRACTOR= RAC } t, R= A & M QUALITY H } G i:•: }::.t...}::.!..: INC
STREET= 1 :,: :.7 i t.f E INDIANA AVE
ADDRESS= SPOKANE WA 99216
ITEM E ::M DE:: [: I: =IP T :l:OI1
PROCESSING FEE
GAS t'•I } t.x is ( ! ..I .t. t.. t 0 0 , t:. 0 0 B t.• 1
PHONE= 509 92E 3 21 00
QUANTITY FEE AMOUNT
12,00
*******x********************* p F•i `( 1v3 }::. ;`•, I : • i i i'i t I t••! t'0. ' *********************§****
PAYMENT DATE I.:. RI° t.: E .I.I'' I :: PAYMENT AMOUNT
10/19/89 5057 0 0
TOTAL DUE= .00 TOTAL PAID= 37,00
PERMIT TYPE FEE AMOUNT AMOUNT i F`AID AMOUNT OWING
}' }::. !..: i"I I^i N .I: (: A L.. F :: I: _: m i 37,00 _ , 0 0 ,00
........... ...............................
37,00 37,00 ,00
PROCESSED BY: ... ` U i....l. 1::. ,.'.• t•'t h ! ! t t.!
PRINTED i i 7` : jULIE '°' t..t ..,....:..
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