1991, 09-16 Permit: 91005862 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 AROA8NAYAVENUG
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examinedthis permit/application, state that the information contained in it and submittedby me or my agent to compilem 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 specif ied
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 conformancewith the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER 0nAGENT DATE
PROJECT NUMBER= 91885862 ISSUED PERMIT DATE-- 09/16/91 PAG[- 01
x�*x°x-kfl***x*************** PERMIT INFORMATION **********�*****************
SITE STREET= 1789 E BLAKE RD PARC[L:0= 27541-1825
ADDRESS= SPOKANE WA 99206
PERMIT ||%E= INSTALL HEATING EQUIPMENT & GAS PIPING
PLAT4= 882752 PLAT NAME= VERA
BLOCK= 18 LOT= 25 ZONE= AGKI DIJT4=
AREA- 88837890 F/A= F WIDTH., 128 DEPT:4= 315 R/U= 58
0 OF BLDG%= 1 4 DWELLINGS= i WATER DIET =
OWNER= K AJSEN, GARY L
STREET= 1789 % ;iAKE RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 808 0000
CONTACT NAME= A@3ER%ONC SHEET METAL PHONE HUMBER= 509 92a 0960
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= N4
REAR= NA
*******+*****�**x*«************ MECHANICAL PERMIT «««******************«««**
CONTRACTOR= ANDER%O/!'S SHEET METAL PHONE= 5:21-? �28 0960
STREET= 13983 E TRENT AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 25,00
GAS HTG EQUTP/i06/088>BTU i 12`80
GAS PIPING i 1'00
**x*****x*******x*************Y. PAYMENT SUMMARY ****************»**********^
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
89/16/9i 6528 38.08
TOTAL DUE= Di1E= ^68 TOTAL PAID= 38,o0
PERMIT TYPE FEE AMOUNT AMOUNT PAI; AMOUNT OWING
--------------- -----------'- ---'--------
MECHANICAL PRMT PRMT 38^88 38^88 .00
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38.98 38^08 .88
PROCESSED BY: JOHN LARJON
PRINTED BY: JOHN LAR%GN
»******************************* THANK YOU *****vWx**e�**********«:A«****k»