1991, 09-17 Permit: 91005976 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF`BUILDINGS
W. 1393 BROADWAY AVENUE
SPOKANE, WASHINGTO. 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 Nt.iMBER.-:: 91005976
ISSUED PERMIT DATE= f.:::: i.J9. 1i/91
PAGE= 0
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SITE P EE, = 4821 ?: Bt
"N` (• 1'i i t ! t.:t : i i.: ?::. ?._ vi:::.. 35644-2618
rfiT:)Til• z:.�t `;::.. SPOKANE WA 921 6
?-'ER??.I.? USE= INSTALL HEATING EQUIPMENT `c PIPING / & GAS LOG
PLATO= 004092 PLAT NAME= _,f.,??fi?l::.RFIE:.l.D EAST iST ADD
BLOCK= 6 LOT= ZONE= WIDTH=? ...'3 !} .L ,tr.�•. :s.._. G r
• ,F KJt ._.. :sDWELLINGS= 1 tWATER DIST fi ::::
OWNER= KE:1. TI•'II...E:: Y ; TOM ;• JACK I E PHONE=
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STREET= 4821 N BURNS RD
ADDRESS= SPOKANE AiJE iJA 99216
CONTACT NAME::_ AIDERS ?»!NS `.?"?t::.?::. ? METAL At... !'`!•• ONE NUMBER= 509 .21.E 0960BUI, DIN...SETBACKS: FRONT= NA 1...EF•'?':::: NA RIGHT= i'A REAR= NA
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CONTRACTOR= ANDERSON'S SHEET METAL
STREET= 13903 E TRENT AVE
ADDRESS= SPOKANE WA 99216
1:TE::Ni DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING E•EE'. Y 25.00
DUCTWORK SYSTEM i 10.00
GAS } i_'•1 -f 1x E::i• i.il;j'{:: f tiCi, fit`,•iO;