1991, 10-04 Permit: 91006503 Gas Pipings
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPDXANE, 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 C. ty to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to .mply 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 issue 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 prions 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
;`in. iE::CT NUMBER= 91006503 ISSUED iEI) PE iMJT
F'>At f: E -• 00
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SITE ::. { i = { 2508 ,> D3:,sHMAN MICA RD PArt°i' :.i... _ - 2954.4...908
ADDRESS=,`.?'''OKANE WA 99206
PERMIT USE= G. •^•1 S PIPING
PLATO= 0032(}= PLAT NAME:::: SP -42i
BLOCK- LOT= 2ZONE= U 5 DISTO=
AREA= F / A - A t1W .i _} { t''{ =_ :S: ? - �.f DEPTH= 3, ►:; ,' t>,; :::: 70
OF BLDGE= `I rc DWELLINGS= i WA i-;. DIET
OWNER:: CHANDLER, PATRICK E
STREET- 2508 S IiI:,si'iMf•"•ir' MICA RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 482 7333
CONTACT NAME- AIR PRO PHONE NUMBER= 509 482 7333
;
BUILDING tr IA riS : FRONT= NA LEFT=NA RIGHT= NA REAR= "n
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CONTRACTOR= AIR PRO INC
STREET= 960O E:: MONTGOMERY rift i
ADDRESS= SPOKANE W( 99'06
:t:TEM DESCRIPTION
PHONE= 509 482 7333
QUANTITY FEE AMOUNT
T
E`RC)CFSEI:NG FEE .25..00
GAY PIPING 1 i.00
MINIMUM FEE ADJUSTMENT 'r C):.00
Y
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F:(''•lYMFNT Tt:1Ti:
j i/ /0A.
PFCFIIPT4 FAYMENT AmOuNT
7303 35..00
TOTAL. DUE_:::. .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHAN.LCAt... P1".it-i 35.00 35.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: I.JE::NIii":i..., GLORIA
35:410 35,00 .00
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