1992, 11-12 Permit: 92009995 Water Heater, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
f..
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
. Lt,E,T NUMBER= 92009995 ISSUED `
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DATE:= 11/12/ PAGE= 01
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SITE ::>''T1 41 N FEST i:tC)
:WANE WA 99 '."1 6
OF
USE= GAS WATER HEATER & PIPING
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PARCELO= 45022„4102
002677 PLAT NAME= TRI:::NTW000) ORCHARDS
LOT= :; 'r:j1JI::= AGRI T;:r.STI;:::::
F'A'A=: WIDTH=1N:::F pt;'{,:;:::: .40
0 DWELLINGS= 1 WATER DISI
OWNER= CLARK, ii , WI1...L..IAiMi
STREET :::: 401 i'J :BEST RD
ADDRESS ,SPOKANE {WA 99:216
:',O TACT NAME= t?LLARS
.. 1J .I. I'4 t.r SETBACKS :..: � 3333
�.`.. I::. I S. (11.:1'...'..: 1" 1'S l� I`J 1 .. I :' ("1 LEFT= N/A h'I 't..,.v1
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3'? 3i 3, (�: �n) 9'i ii� i'I �lF 4i di� 3,i 3i� 3i� di� i'i �Li dpi �Li 9'i �i') aili� ai' ii—)': �ii� 3i' hr �ik it' 1"1 c:. l.: I" A I`J :I: [, F'! L.. PER
_!N
T I.,, 0 B O i, 3707
SPOKANE WA 99'
:i:T1:i°4 DESCRIPTION
PROCESSING FEE
GAS WATER HEATER
GAS PIPING
:n)3e*di3 a'}id a .3 diX3i.t e3 i3i3i*ai3i3i: 3i.ai 3n 3 3i if ai
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PAYMENT DATE REGE IPTG
1'79
PHONE= 509 924 0318
F'I.iO.INE::. NUMBER= 509 482 5685
N/A REAR- N/A
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YAHH(: ai•'&'h''ll' R''!f 3': Il
PHONE- 51)9 4R9 1170
QUANTITY FEE AMOUNT
25.00
00
1 0
SUMMARY roraJii 9rea
TOTAL I P91_. dt
. , Dt.!l'.:::: TOTAL PAID=
PERMIT TYPE FEE AMOUNT
_............................_......._................. __.._..-_33.33--'--.._..._.._.._....
MECI..HAN:I:CAL.. F'RMT :56.00
3h. G)ii
i-'ROCESSi:1) BY: T)r_il"I.i.FI'iiFJV.cH, ROB I.N
PRINTED BY DOMITROv1:CH, ROBIN
.... .3333 .... 3333 ..... . . .... -. ,,. '... . .. . .3.333 )t li H ...
r: er aE 3¢orrv3t yr mi ii. iP .H.:rem.ri.o�.y..u.id.di rE mi v: et ii �k�i4 at�it d{..ii�ii THANK you is iu as a¢�ii ii�ae at 3t it.di.ai..u.:n ar at ao-vi 3'i.".:.:..Ii_)i. di�a�i 3i�3r sv li...pi .ii.9i.
PAYMENT AMOUNT
36.00
36,00
AMOUNT FAIT) AMOUNT OWING
36,00 .00
36,00