1991, 01-29 Permit: 91000293 Mechanical FixturesSPOKANE COUNTY DECARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE; WASHINGTON 99260
,(509) 456-3675
I certify that I have examined this permit/application, state that the inforrriabon 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 constructioSIGNATURE OF
'Ir/7-,�\I �� / '
OWNER OR AGENT RS/XN"r �f%- ��1/'r✓V_- DATEICATION //9/2/
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'I :r (`�. - .. T PAGE= 01
SITU STREET= 2123 N DORA RD PARCE1.0=- 12D34 -0.'05
ADDRESS= SPOAKNE W4 9920-6 ,
- -.PERMIT USE= 4NSTALL-WATER HEATER/HEATING EQUIPMENT S A5 IPING
OWNER= pApEs, TERRY.&_DEBRA PHONE= 509 927 149.0 -
',STREET= 2123 N DORA RD
CONTRACTOR= -- T OR=:- OWNER
PHONE= .. -
ITEM :DESCRTPTI.ON Gy%.if.,NTir. . ,FEE.
(( NI ,. .. ..
I::r Li i..)1_: I:...),I. 141x FEE� Y 1
GAS- WATER -HEATER - - -. i -.
GAS
_ _c,A��'PIPING .. >.(:,c')
i..)p:n..p.*..)i•.%....k..X'h..*.h..y.*ah'--- Piar..)i: g..h..3*- PAYMENT SUMMARY RY ')i)3*3*9i)ih:9hiUii diiin)i d6-):* ii
PAYMENT DATE— -. -pC-:i'EIP'T:,I.•P;A'YME:N'T''Ai91ONT ,
49,00
T O..i r -1L_ Dk.IE' ,00 I OTAI._ PAID=-: D'= : • 49-.00
PERMIT,TYPE • - i i:i:iii:'r'�MOIRJ - AMOUNT .P:AID .
MECHANICAL i' I, l i t ... ^1 ... - _ •-
,ti, 4)
AMY1,1.01
)01/29/91 -409
PROCESSED BY : JOHN L_ARSON"d
PRINTED BY: .JOHN LARSON
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