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1995, 02-14 Permit: 95000755 Gas Log, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS WEST 1026 BROADWAY r SPOKANE, WA 99260-0050 (509) 456-3675 c SITE INFORMATION PROJECT INFORMATION SITE ADDRESS: 12719 E BLOSSEY AVE SPOKANE WA 99216 PARCEL NUMBER: 45272.1327 SUBDIVISION: OPPORTUNITY TERRACE 3RD ADD LOT: 9 BLOCK: 4 ZONE: UNK INSPECTOR: REED OCKEY WATER DIST: OWNER: CURTIS, STEWART PHONE: 509 926 6098 ADDRESS: 12719 E BLOSSEY AVE SPOKANE WA 99216 PROJECT NUMBER: 95000755 ISSUE DATE: 02/14/95 PERMIT USE: GAS LOG, PIPING APPLICANT: NATIONAL CHIMNEY PHONE: 509 487 3559 ADDRESS: 6462 N PERRY SPOKANE WA 99207 CONTACT: NATIONAL CHIMNEY PHONE: 509 487 3559 SETBACKS -> FRONT: NA LEFT: NA RIGHT: NA REAR: NA LENDER NAME: PHONE: ADDRESS: l PERMIT(S) ' MECHANICAL PERMIT CONTRACTOR NATIONAL CHIMNEY SERVICE LICENSE #: NATIOCS100K9 GAS LOG OR GAS INSERT 1 GAS PIPING 1 PROCESSING FEE 25.00 TOTAL PERMIT FEE $36.00 PAYMENT SUMMARY NOTES PAYMENT DATE RECEIPT# 02/14/95 00001037 PAYMENT AMOUNT $36.00 TOTAL FEES AMOUNT PAID AMOUNT OWING $36.00 $36.00 $.00 ISSUED PERMIT BY: DAWN DOMPIER ICE