1991, 08-08 Permit: 91004862 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 a
OWNER OR GENT DATECAT}ON `-' t V99
1
PROJECT NUMBER- 91004062
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ISSUED PERMIT DAT1-7,- 08/0/91 F: A G
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'TO= 001641 PLAT '''AMF= MIRABE
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ARCEL4- 09541— 742
PHONE= 509 926 0573
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LEFT= NA
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CONTRACTOR= }OWNER PHONE=
ITEM r_l::.r:}fY QUANTITY
FEE AMOUNT
MINIM, ±:EF. ADJUSTMENT 'f
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545c,.1 :'ry is;" j•J t•,}TOTAL DUE= „00 TOTAL PAID- 35,00PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PAYMENT DATE
08/08/91
MECHANICAL PRMT
35,00 35,00 ,00
35,00 35,00 ,00
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