1991, 12-05 Permit: 91008412 Heating Equip- SPOKANE COUNT' DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINOTOF➢499260
(509) 456-3675
I certify that.' 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 anystate 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
i='R() JECT NUMBER= '?160,3 i.:?. ISSUED PERMIT DATE= 12/05/91, PAGE= -01
ac• 3i• 3i •u 3i• •tt 3e w: * 3i x 3t• * 3i 3i • * 3t• 3i• . ae •x 3t * * •>': 3i P E:: R I I T :r N F• 0 Rm A T I O N *******:*************36-**
SITE • STREE i -= 1514-N ELTON RD
ADI)RES S= -SPOKA 4E WA 99212
--P'E=Rr'1IT ISE.== HEATING EQUIPMENT. •
PARCEL4- 1W542-0204
PLATO= 00'2878 MAT AT NAME= WEST .VALLEY ADD NO.6 .
BLOCK= LOT= 'ONE= UR 3.5 DIST 0=
• - AREA= -00000000' --F;•/A._:- F WIDTH= • DEPTH= -- R/W=
-0 OF IiLDGS== - i 4 DWELLINGS= 1-• •WATER- DIST ::. -
OWNER= .RENF•ORD, ,_TACK PHONE=.509 4873198
• 'STREET= i 514 NI ELTON TON RD
• ADI)RE SS SPOKANE WA 99212--
.CONTACT
9212--
.CONTACT NAME=-BANNER-FURNACE,n FUEL - .PHONE -NUMBER= -509 53.5 17-11
BUIL.DING.SETBACKS:, FRONT:w..N/A. LEFT N/A RIGHT= N/A REAR== N/A
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_.»CONTRACTOR= BANNER .FURNACE & FUEL -CO-INC
S TREE::i' F' .0 . BOX 4346
ADDRESS=.SPOKANE WA 99'02.
•
ITEM:DESCRIPTION
-PHONE= 509 535. 1711
QUANTITY
PROCESSING -FEE. _ -Y _ .. .
GAS HTG EQU:EP<.•i 00., 000){TLi - .
Fr:::E.: AMOUNT
25 . 00
12.00:
* 3k * * 3l 3i * 3i 3i• * * 3k 3i: * * 3t• ii 3t it 3i 3i• * 3k 3i• * * # * 3i• 3i• 3i PAYMENT S U ri M A R Y - 3i * 3e-4* 3i 3k 3t 3i• 3i• * * 3i 3i 3#• 3E 3t 3i 3r' 3k 3i• 3i• 3i 3t 3i 3 3i•
PAYMENT DATE_ . _ RECEIPT;_ PAYMENT.AMOUNT
-1-2/05/9f _7'9246 _ .. S1. 06
:,° TOTAL.: DUE== . - _.00 -.TOTAL. PAID= 37. 04}.,
F'E:RMI:T: f TP''E:: FEE AMOUNT...:. AMOUNT F'.AID . AMOUNT OWING;
MECHANICAL PRMT —37.00— _ - 37.00 .00
37.00 . 37.00 .00
PROCESSED i Y : DOriITRO\ICH , ROBIN
`PRINTED BY: DOMITROVICH, ROBIN
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