1991, 09-03 Permit: 91005393 Furnace, ACSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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 csmplied 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= 91005393 1.S'SUEIi PERMIT DATE= 09/03/91 PAGE= 01
ri•#ii•**#3i•*ii•b+:# -***#ii•**ii•*ii• ••ii•*##3i• p[ RMIT .T.NF'f:iRi'iATiO1 ii•9eii•if•##*#riii•#ii•9i•**#•#* •*ii•P•*ii)EveiEH•
SITE STREET= 11905 F" BUCKEYE AVE PARCEL = 09541-1115
ADDRESS= SPOKANE WA 99206
PERMIT USE= ,,
.F:_.. GAS FURNACE & AIF: CONDITIONER
PLAT:„::::: 00164.1 PLAT NAME:::: i1:[RATiEAI..1 RANCH ADD
BLOCK= ii LOT= 15 ZONE= UR -3.5 D T. S -I;:,::
AREA- F/A= 1= WIDTH= 90 DEPTH= 135 i;,: i,.;::::
OF I:ti DG ':= 0 DWELLINGS= i WATER DIST =
OWNER= EF�IyCKSON, JOHN R
STREET= 11905 F: BUCKEYE AVE::
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= ELLEN HOLT PHONE NUMBER= 509 534 4975
BUILDINGSETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR:- NA
* * •if : h• x *'X' gip: ';s u r. 3* . * u b: * . x * a ii •r ri * * 3 * * M E:: C H AN I C A L.. PERMIT a * •n •n: * a• • r: * * •k• •ii : 'a u• •h: •a• •ii• •u k• •p: 'd ii u• $i •i4
CONTRACTOR= TRACTOR== NORCO HEA'T'ING & AIR COND INC PHONE= 509 534 4975
STREET= 5103E TRENT AVE::
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
-------------------------
PROCESSING EPEE
GAS HTG rnUTF . i 00; 0i0tl>B�1TU
AIR CONDITIONER u- TONS
QUANTITY FF F:F..: AMOUNT
--------
25,00
12,00
)i hi it ?k n:Nrr}ii{i>iii~ik**Win' }Rifr iiiF3'3e3iriri is j'AiMENT summARy * *k***: *#**#*riiE
PAYMENT tDATr F E::CE::IPT;: PAYMENT AMOUNT
09/03/7' 4 6212 49«00
....................
TOTAL DUE= .00 TOTAL. PAID:::: 49,00
t” 0
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING;
MECHANICAL F -RM I 49,00 49,00 . 00
49,00 .4'• ,; 00 . 0
J`' R f"i is;: I::: S ; I: %) is Y : W E N D E:: L.. , GLORIA
WILL BY: JOHN L
t?..}{ * '}t' •N * P: }{ P: }4' * Jt * * N: * 'A: •)1"ll P: * 9{ 'H: * •... . P: '...i... THANK T o l_J x********************************