1990, 06-14 Permit: 90002675 Fireplace, 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 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= 90002675.
Pr:11f:1i it; 3.-. 1.• ***a.•*it=:t.-i.•.*i +i*ii-ii• ?•i.•i!5* **i i.-i.. PERMIT INFORMATION
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PERMIT !S + _ INSTALL GAS > & PIPING l N MOBILE HOME
ADDITION
+" j'_ +.:+ fi" :,,..... 00-1407 PLAT of A C + +::.:::: E... A iK +-. •`., R x MOBILE PARK ADD WIDTH= DEPTH= DWELLINGS=
i ; r' " . "
owNr...3, !J r I N tN HENRY
j PHONE= ?? 926 8
M .yARBOR
F "F •4 1 I' =:.:.::• :. " 7 i {ti"44!: WA r 9e•
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'.TACT NAME=
DING cE.TBACK
E.' iit,)j,I• :::: jwtA LEFT= _:: I'•JA
PHONE NUMBER= 509 924 001R
j iY'HT::.. NA REAR= NA
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CONTRACTOR= tai'" V F: MLR I . .•, r ()LING 509 924
o i
STREET= 11704 £'. + »r 4.! ! S E R f AVE f ' '; t`.:t
ADDRESS= SPOKANE VA :yT:v'l'.I:::i
ITEM .•t1::. 1.. :t4.!.1: I .I.3ON QUANTITY FEE AMOUNT
NC-FEE 25—
L..tr!!.!T `< 1 -: 0 ?.;;..J.; y i I... ? 00
GAS PI .NG 00
1 1 1 1 N 9 1. : 1 3 } : } } : 1 R P 1 J L f . . } 1 t PAYMENT ` ' ' ; 3 1 * h g k . k j ; 1 }j7 1 1 l: j Fii : : P 2 : A
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
: !...! I•t I. t 4!.3tiF.$:... �.. t::.....t ! ;:!E I #j{ N ADD.. `k�,t�l,,T,1,,J:::: {.:t +ll,•;iis•iN.t.
MECHANICAL PRMT 38,00
JULIE SHATTO
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