1987, 09-29 Permit: 87003236 Gas Conversion BurnerSPOKANE COUNTY DEPARTMENTOFBUILDING ����SAFETY
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NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
I certify that l'have examined this permit and state that the information'contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All. provisions of law§ and
ordinances governing this type of work will be complied with whether specified herein or not.'I understand that the issuance -of this permit 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..Idcal law regulating construction, or.as a
warranty of conformance with the provisions'of any state or local laws regulating construction.
OWNER OR AGENT ' DATE
PROJECT NUMBER= 87003236 DATE=.09/29/87 ' PAGE= Oi,
*************************** PERMIT
INFORMATION **************************
SITE. STREET= 3515 N ELY RD` • PAK[ELO= 06543-3403
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ADDRESS= SPOKANE WA 99206
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PERMIT USE= GAS CONVERSION � BURNER
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PLATt= 001865 PLAT NAME= ORCHARD •AVENUE ADD(TR'i-22R1
BLOCKL- ' LOT= • • ZONE= AG%UB DIJT�= E
AREA=• OOOOOOOO ' F/A= F. WIDTH= . • DEPTH= - R/W=
0 OF BLDG%= 0 DWELLING%=
OWNER= WILLIS, FLOYD J
STREET= 3515 N ELY RD •
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 6825
CONTACT NAME=RON pERRON . PHONE NUMBER= 509-467-0678
BUILDING SETBACKS: FRONT= ' LEFT= RI�HT= REAR= �`
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******************************* MECHANICAL PERMIT ***********�**************
CONTRACTOR= RON`%•HEATING & COOLING
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STREET= 516 4 HOLLAND RD•
ADDRE%%= SPOKANE WA 99218
PHONE=. 509 4070678
ITEM DESCRIPTION QUANTITY •
' -�-- ----- --------
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FEE AMOUNT
PROCESSING FEE `Y ' 15-00
GAS HTG EQUIP<100,000.>BTU i 9.00
******************************* PAYMENT SUMMARY ***************************�
RErEIPT� PAYMENT AMOUNT
PAYMENT DATE - �
09/29/87 3958.. 24.00
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' TOTAL DUE= .00 TOTAL PAID=?4.00
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PERMIT TYPE,• AMOUNT AMOUNT PAID • AMOUNT OWING
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MECHAWICAL PRMT 24.00 24.00 • ,OO
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24.00 • 24.00 .00
PROCESSED. BY: MA%CARDO, (�ODOLFIN •
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******************************** THANK YOU *********************************
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