1991, 10-17 Permit: 91006937 Gas PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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
PROJECT 1:11,.,.1,!...!.,_.. 91006937
ISSUED PERMIT — ;kJ ,
PAGE= 01
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AD -..—•...' ,-E"1...11{(.q N!•• WA 99206
PERMIT USE= INSTALL GAS PIPING
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OWNER= CHURCHILL, F. L.
STREET= T= 'i:' :i::O.1D.i:SH RD
ADDRESS= yr'`k.JE',i-i±`aE:.. WA 99206
PHONE= 509 926 6357
CONTACT •, A ... 1:x:11.=. ,j. ' 'I`•t1J1•' PHONE NUMBER=
BUILDING SETBACKS: , ! ,1„I ,t't T .... NA LEFT= NA RIGHT= NA REAR= i = #". A
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CONTRACTOR= FHRNArr FHFL nn ._ INC C = Ov_:509 535
1 1 1
STREET= i-_? BOX 4346
ADDRESS= SPOKANE WA 99202
ITEM DESCRIPTION QUANTITY
PROCESSING F.EE
—3 PIPING 2
NIMUM 11" 1 P• ADJUSTMENT
Ai'1OUN_t.
----------
2,'A
i :4:70
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/17/91 7747 35,00
TOTAL 1 U i::.:::: ,00 TOTAL E”F i.E.1.::::: 35,00
PERMIT' ' .. AMOUNT AMOUNT ? t11N PAID Ar'# -•#1 -!NT OWING
MECHANICAL PRMT 35.00 35.00 ,00
35,00 35,00 ,00
PROCESSED BY: JOHN LARSOI
PRINTED BY: jOHN LARSON
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