1991, 03-12 Permit: 91000980 Gas Log, 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 NUMBER:: 91000980 ISSUED PERMIT DATE 03/1 PAGE=
•h: * * # t+ h)t * * * Yt * * * * * * }i• * * ;k H:• •h:• •k• * * •;k :A• P E: R iI I 1 .I: N I= O R iI A T I (:) N .k..k.:ri• * ii• 14 •li• • * •A *.'a.:ni ri• h'r ii• #.:u. ii.:ni 1k i+: : rt• N: ri• i+; •n•
SITE STRE=T • 12123 E BUCKEYE AVE F'ARCI::.L..a= 09541 1; 5
ADDRESS= SPOKANE WA 99206
PERMITUSE=(2)GAS LOG ,: (2)PIPING
PLAT4= 001641 PLAT NAME= MT.R:ABE::A(.) RANCH AD))
BLOCK= 9 LOT= 7 ZONE UR -3.5 5 D:i: S.T. „:::-
AREA= F'/A= F WIDTH= 86 DEPTH= i35
OF BL_DGS::: 4 DWELLINGS= 1 WATER DIST =
C)wNER:-: BOYER THOMAS
STREET= 12123 i::: BUCKEYE AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RANDY HASTINGS
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= N
**•n:•n:***•b:•h:•jl';k*T:* #*`R•**)ti**P:*3t•*•;t•h:•;t* MECHANICAL... f ''I::.Ri`'i]. ! p.•;liiik$k';{•3l••;l•'tt'a•;LP:•;1:N:b:'•P:A:•R';{•A:F1'•;{•;kih}k•;4•
PHONE=
0
I { ;' W -:6 0
PHONE NUMBER= 509 484 1405
CONTRACTOR= R & R HEATING
STREET= 1723 E F'F:ANr.:':I:
ADDRESS= SPOKANE WA 9
ITEM DESCRIPTION
AIR c:r)N:C>
AVE,
PHONE= 509 484 1405
QUANTITY FEE AMOUNT
PROCESSING FEE ,
GAS PIPING,00
GAS LOG
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PAYMENT DATE:: RECEIPT* PAYMENT AMOUNT
03/12/91 1178 47,00
TOTAL.. DUi::.::. , 00 TOTAL F'AID::: 47.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
47,00 47..00 .00
47,00 4,00 ,00
PAYMENT SUMMARY a•'rf•**k*N:•**k** *•r iE i isri�i ri 3k ii }ir #ri3tfi:
MECHANICAL F'PMT
PRO(
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F'I't.l.
`FD BY: WENDEL.., GLORIA
T.E i) E((: WENI)EL.. , GLORIA
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