1991, 12-04 Permit: 91008355 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that 1 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 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
PROJECT NUMBER= 91008355
ISSUED PERMIT DATE= 12/04/91 PAGE- 04
**************************** PERMIT INFORMATION ****************************
SITE STREET= 628 S EVERGREEN RD
ADDRESS= SPOKANE WA 99216
PARCEL..= 22541-9i 81
PERMIT USE== HEATING EQUIPMENT & PIPING
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT=gq_ZONE= AGSUB DIST4= F
a OF BLDGS= 0010000 DWELLINGS= F 4WIDWATER DIST DEPTH= R/W=
OWNER= WALLACE, LYNN PHONE= 509 922 9285
STREET= 628 S EVERGREEN RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= AIRE VALLEY HEATING & COOLING PHONE NUMBER= 509 924 0018
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL.. PERMIT **************************
CONTRACTOR= AIRE VALLEY HEATING & COOLING PHONE= 509 924 0018
STREET= 521 N EL..LA RI)
ADDRESS- SPOKANE WA 99212
ITEM DESCRIPTION
PROCESSING FEE
GAS HTG EQUIP{100,000}BTU
GAS PIPING
QUANTITY FEE AMOUNT
Y
i
1
25.00
12.00
1.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE: RECEIPT4 PAYMENT AMOUNT
12/04/91 9198 38.00
TOTAL DUE= .00 TOTAL PAID= 33.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT
38.00 38.00
38,00 38.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
,00
.00
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