1991, 11-14 Permit: 91007842 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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. oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91007842 ISSUED PERMIT DATE= 11/14/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 315 S BARKER RD PARCEL= 0552-0315
ADDRESS= LIBERTY LAKE. WA 99019 -
PERMIT USE= HEATING EQUIPMENT & PIPING (2)
PLATa= 000498 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= 5 LOT= 52 ZONE= UNK DIST = G
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGS= 1 m DWELLINGS= 5 WATER DIST =
OWNER= WORMUTH RAY PHONE= 509 928 9682
STREET= 355 S BARKER RD
ADDRESS= LIBERTY LAKE WA 99059
CONTACT NAME= A & M QUALITY HEATING INC. PHONE NUMBER= 509 928 2100
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A & M QUALITY HTG & ELEC INC
STREET= 12710 E INDIANA AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PHONE= 509 928 2500
QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS HTG EQUIP(500,000>BTU 1 12.00
GAS PIPING 2 2,00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE: RECEIPT4 PAYMENT AMOUNT
15/14/91 8673 39.00
TOTAL DUE= .00 TOTAL PAID= 39.00'
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 39.00
39.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
39.00 .00
39.00 .00
******************************** THANK YOU *********************************