1992, 10-28 Permit: 92009466 Mechanical Fixtures411,
SPOKANE 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
1•'Rt1,,tE:.a 1 NUMBER= 92009466
DATE= 1r.,}/.j /` 2 PAGE= 0 '1
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SITE STREET=
5021 !:%'
N BURNS F D 1'' til I•`; t.,1... I...:ii.::•• 46354.2609
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS FURNACE, WATER HEATER, AIR CONDITIONER, PIPING
I...Ar :::_ 0040`x' :. PLAT NAME= SUi•S'r•SE:1•it::•l:ELD EAST 1 ST ADD
BLOCK= -= LOT= 9 ZONE.:::: UR -3.5 D:l: c:•� :H:= I..I
,. : x WIDTH= �j::::DEP,
0 :1F rKi, {7t•rE:::: 1 :y: DWELLINGS= i WATER DIET
PHONE= 509 924 1743
STREET,
REE:. T,
ADDRESS=
EDL. i N , E::ARI.-E::NE
5021 i.N BURNS ;i}%
,,FOKANE t1t,i 9y216
CONTACT NAME:.:::: E:ij "fER.'t, i::.l`•t,`r
PHONE NUMBER= 509 928 2100
BUILDING `E"tAi?E: r LEFT= NA RIGHT= !'j." REAR= NA
.}C. * .A. •}t A• •ri * * •}i * * * * * * * * }}• N: p: * n: i{.**.u.:rt..h..p: * m 1::.1 , H A f �? .I. C t t I... PERMIT .x.*.. * .p..A.:) * 9{ * * * •}4....}k iL * -h: i+:* * * ::1? *
CONTRACTOR= fs & M QUALITY T .t. 1...._i..l.: INC
STREET= .tf1',:} 3:. a. NT.; .T. 6't •t A fAt.'v t::.
ADDRESS= SPOKANE WA 9921 ...
ITEM DESCRIPTION
PROCESSING FEE
i:, A f» WATER Hi r i r Iq: • t 7 4
GAS S H +(( G E:.t:,+-1.t. F•` 1 ! ?:iii , ;..}Q?.' a 1:' 1 i.�
GAS PIPING
AIR CONDITIONER 0-3 ? TON,{3
QUANTITY
PHONE= 5C)9 928 2100
FEE:: AMOUNT
z} t 00
.00
i:...:00
3`:*) **1+::M:*** -;k !i•:R-) *P':E*)4 )k :R•N*)t****'}t'** I''(A•4im1:_1'? 1 Eu 114EA?'• Jk':-**** Jk Ii'****)!-*P*i:'**Jh'k•**H:*H
PAYMENT i TE RECEIPTO PAYMENT
-rMEs1 i~ UN
10/28/92 9976 61.00
TOTAL DUI :::: .00 TOTAL A1... I'A.I.r::: 61.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 61.00 61.00 .00
61.00 61.00 .00
PROCESSED BY : WENDE.1..., G1...OR..A
PRINTED BY: t4E::NI}Ei..., GL'IA
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