1992, 11-18 Permit: 92010185 Mechanical FixturesSPOKANE COUNT'r'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= 92010185 ISSUED PERMIT DATE= 11/18/92 PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11911 E BUCKEYE AVE PARCEL4= 45091.1116
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS WATER HEATER & PIPING
PI._ATL= 001641 PLAT NAME= iIIRABEAU RANCH ADD
BLOCK= i1 LOT= 16 ZONE= UR• -3.5 DIST4= H
AREA= F/A= WIDTH= DEPTH= R/W=
4 OF BLDGS= 4 DWELLINGS= 1 WATER DIST
OWNER= DAVIS, WILLIAM F. PHONE= 509 928 7825
STREET= ii911 E BUCKEYE AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= NORTHWEST BOILER PHONE NUMBER= 509 535 1300
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL_ PERMIT **************************
CONTRACTOR= NORTHWEST BOILER REPAIR INC
STREET= 3815 E TRENT AVE
ADDRESS= SPOKANE WA 99202
ITEM DESCRIPTION
PROCESSING FEE
GAS WATER HEATER
GAS PIPING
PHONE= 509 535 1 300
QUANTITY FEE AMOUNT
Y
1
1
******************************* PAYMENT SUMMARY
PAYMENT DATE
11/18/92
TOTAL DUE=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOI
25.00
10.00
1.00
****************************
RECEIFT4
41 5
.00 TOTAL PAID=
PAYMENT AMOUNT
36.00
36.00
OWING
.00
MECHANICAL PRMT
36.00
36.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: JOHN L.ARSON
36.00
36.00 .00
******************************** THANK YOU *********************************