1991, 09-13 Permit: 91005763 Stove, PipingSPOKANE COUNTY. DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
• SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construct'
SIGNATURE OF y �, _ - APPLICATION
OWNER OR AGENT _ ��: C`\. TJ �I�IV DATE
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PERMIT INFORMATION .ee.. i;. � . j;. i• .,,• :ri- :+�- •'Ji• it• �}.- -Jt..n..!,. a,..J: �t• st- :+E �: �t. 1,. rt. r,..Je ft• :+t• � t-
JL- !t' ft- it• Tt :+t' : J
SITE STREET= 1142i #....i. !..- #r<. {••. i::. � '` (•'t r s #.-: #... !....,,... :; i °;% :•;. s•. ,... ' '? -. `? '#
.a.t
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS STOVE & PIPING
PLATO= 000765 PLAT NAME= " • :i:RACis ES RE::.Pt...{: # 02BLOCK= I LOT- ii A
ZONE=
OWNER= JOHNSON
BERNIE PHONE= 509 928 0224
.
STREET= :: 'is 2i i::: "AIRVIEW Atoi:::
ADDRESS= SPOKANE WA 99206
CONTACT NAME- BERNIE P JOHNSON PHONE NUMBER= 509 '; ..:- •1 i ... _; 'i 'i
BUILDING SETBACKS: FRONT= NA LEFT== REAR=
MECHANICAL PE::.RM.,.?
CONTRACTOR= OWNER PHONE::::
ITEM DESCRIPTION
................................................................................................ —
PROCESSING FEE
GAS PIPING
GAS L.. O G
QUANTITY FEE AMOUNT'
-Y 25.00
00
s •.. ;. • j .:.:.:.:.:.:.:.}.. ;..i;.:::,j..i:: (.: (.: ;.: ;.: (.: ;.. {.: j.. •..j{.. (.:::;.::.: (.: }.: ;.: ¢
P ' i t "�' :,i.:i;.: i.:,:.:,i.:,;.::: j..jj.:,j.: ;. j;.:,(.: ;..j{. JL )t ji..i(' :++: k 4(• }(• :+(• J+: !¢ $+::}{•
:t i-. •J...:.., .. i, }... Jk ...t !. Y. J. ). J. J. i. J. it .. }. tt r: J. J. J. J. !. {•�? '{ ?'t #::. #, s SUMMARY .... a....... JL J..... J. ... J
PAYMENT
DATE
RECEIPT4:
PAYMENT AMOUNT
0903/91
... 48 (-*.`
36.00
..............................................E
--------------
O # AL
TOTAL
DUr.:.....
;.'-:!t? TOTAL (AL {^A.L j=
36.0(-.'j
PERMIT TYPE
FEE
AMOUNT AMOUNT PAID
AMOUNT OWING
MECHANICAL PRMT
36.00 36.00
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PRO#..:E,.Jb ED BY: JULIE SHATTO
PRINTED BY, JULIE SHATTO
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