1991, 10-04 Permit: 91006523 Gas Furnace, Water HeaterSPOKANE 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 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 APPLICATION
OWNER OR AGENT DATE
PROJECT [ NI. MBER: ::: 91006523
ISSUED PERMIT DATE= 10/04/91 PAGE= 01
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SITE STREET= 4906 s' BATES RD E'ARC:E::t..4= 04442-1918
ADDRESS= SPOKANE. WA 99206
PERMIT USE= f;A,j FURNACE E WATER HEATER
E:R
PLAT: : : :: 001743 PLAT NAME= MYRON ESTATES NO 8
BLOCK= i LOT= 16 ZONE= UE!:....3 ;, 5 iD 1: C'T'S::_: ID
AREA=
1 ::,: A E" WIDTH= 180 DEPTH=
: „: OF BLDGE= BLDG :y: DWELLINGS= 1 WATER DIET
OWNER= R :::: CA:%FD , STEVEN
STREET= 4906 S BATES RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 927 9.197
CONTACT NAME= TED MARTIN PHONE NUMBER= 509 924 8088
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= MARTIN SHEET METAL INC PHONE= t: c7 924 0888
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION Q ad 11T Y FE:..:. AMOUNT
PROCESSING FEE Y r,r..• H
GAS WATER HEATER i 10.0w
GAS i°ITC; E(•ii I I €:' 4. 1 ()I') , (,!)!, ; it"('!. i 12,.00
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PAYMENT DATE REa: E 1 t t al: PAYMENT AMOUNT
10/04:`'91 7336 4 _GO
TOTAL DUE= <00 TOTAL I-AL.. PAID= 47,00
(( PERMIT TYPE:: // FEE AMOUNT AMOUNT gPA1:.r AMOUNT OWING;
t"1EC.'HAt•II :C :AI_. PRMT 47,00 4 ! :.00 .00
47,00 47.00 ,- 00
PROCESSED BY: fail: N DE i_, GLORIA
PRINTED BY: WENDEL, GLORIA
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