1984, 10-29 Permit: 00003076 Piping Indoor SpaSIGNATURE OF APPLICATION
OWNER,bR AGENT DATE
JOB ADDRESS:
4314 S DARCY
DR
OWNER:
LIBERTY 'C:ON'T•-FRED KIRKHAM .
ADDRESS:
4314 S DARCY,
DR
CITY: ST:
SPOKANE WA
ZIP:
99206 0000
APPLICANT:
ANDERSON'S SHEET METAL
CONTRACTOR:
ANDERSON SHEET METAL
ADDRESS:
1:3903 E TRENT
AV
CITY: ST:
SPOKANE WA
ZIP:
99216-0000
PH:
509--928--0960
LICENSES:
ANDERSH213NZ
ARCH/ENGINEER:
ADDRESS:
'
CITY: ,ST:
ZIP:
PARCELS:
335430803
CENSUS TR:
0999
INSPECTOR:
PLA :LOT
033543
& BLOCK
008
003
I FINAL
PLAT NAME:
3',32544
ZONES:
ZONE
I FSB
OU
S-/
00
S -I
00
RSB
UO(
MOD
USE OF PERMIT:
GAS PIPING f7 OR INDOOR SPA
JOB ADDRESS:
4314 S DARCY
DR
SEO. S:
0003245
DATE:
1U/�'9/E34
PROJOQ:
00003076
Mechanical F'tit-,
$12.00
DIFF. FEES & AmT.DUE
$8.00
r
FEES:
t20100
PAID BY:
CA
CK
x
CG
NC
COUNTER APP
I PLANS EXAM:
DATE:
10/29/8
V
m E C H A N :I: C A L P' E R m I T
MECHANICAL . TOTAL. FTES $12.00
,Processing fee Y misc fee desc Amt $'0,00 fee; $10100
Gas piping system.1-5 outlets '1 6+ outlets 00 fee, $2..00
10 29.'84 7.95152 *2,OI��:u