1991, 05-28 Permit: 91002910 Furnace, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303BROA0WAYAVENUG
SPOKANE,WASH|NGT0N992$U
(509)456'3675
/oomfymm/ou,eoxummoum/ynmm/omnnomumn.otatemotmommrmuooncmxtu.00umnenuouummoo»vmoonnvagentmoomnooamupermit/application is true
and correcand athorize Sx County to proceed withpmoossmo In addition/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
OWNER OR AGENT
PROJECT NUMBER= 91002910
APPLICATION
DATE
I%%UED PERMIT DATE= 05/28/9i PAGE= 01
**************************** PERMIT INFORMATION•****************************
i5022 E BROAD AVE PARCEL4= 35644-3iO3
,= SPOKANE WA 992.16
PERMIT USE= GAS FURNACE & PIPING
.PLATO= OO4 5i PLAT jA = %UMME LD EA%T 2ND ADD
Br�r�= ii LOT= 3 ZONE= UR -3.5 DI%T4=
BLOr -oR E*= 000 7.?77 F/A F WIDTH= DFPTH=
4 OF BLDG%= 3 DWELLINf*%= i WATER DIET =
OWNER= MOEN DOUG & SHARON
STREET = i5O2� E DROAD AVE
ADDRE%%= %POKANE WA 99216
CONTACT NAME= BRAD BAUM
BUILDINc SETBACKS: FRONT= NA LEFT= NA
PHONE=
F
R/W=
PHONE NUMBER= 509 924 0018
RIGHT= NA REAR= NA
******************************* MECHANICAL **************************
CONTRACTOR= AIRE VALLEY HEATING & COOLING PHONE= 509 924 00i8
521 N ELLA RD
SPOKANE WA 99212
ITEM DESCRIPTION
CE%%IN FEE
GAS HT- EoUIP<iOO,OOO>BTU
GAS PIPIN�
QUANTITY FEE AMOUNT
-------- ----------
Y 25,00
i 12,00
i 1,00
****************************** PAYMENT %UMMARY ****************************
PAYMENT DATE
O5/28/9i
TOTAL DUE=
PERMIT TYPE
--------------- --
MECHANICAL PRMT
RECEIPT4 PAYMENT AMOUNT
327i 38.00
------------
.00 TOTAL PAID= 38.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------
38,00 _ 38.8O .00
----------- ------------ -------------
38.00 38.00 .00
PROCESSED BY: WENDEL, GLORIA-
PRINTED
LORIAPRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************