1991, 11-27 Permit: 91008265 FurnaceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. P03 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I 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 oLcaaul the provisionNoRanystateo local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF-' APPLICATION 1k_7
OWNER OR AGENT C— DATE
.. _: ,.: ,... t.: ± NUMBER= 0008265 r.::.St..fE. J PERMIT DATE- i ± : ......' 9 •S PAGE= 01
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PERMIT INFORMATION
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SITE STREET=
i 1 42't E
FAIRVIEW AVE:
Pt'AtRt..•E't...*_::
09542.. 1 i 4 -1
ADDRESS-
SPOKANE
WA 99206
PERMIT USE=
i t
- :.. CHANGE OUT
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PLATO=
000765
:
NAME= ;^ _ t- r_i .±. i•ti
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02
BLOCK- ••
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ZONE= r�l.xr.;(, B
DIST*-
AREA=
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DEPTH= 'i,,i'.
y
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1
0 DWELLINGS=
WA }ER DIST
_..
OWNER-
jOHNSON,
BERNIE
PHONE=
509 928 0224
STREET=
11421 E
FAIRYIElf AV;.-;'
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ADDRESS=
SPOKANE
WA
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CONTACT NAME= f,.. `i '`f' ' jOHNSON PHONE NUMBER= 509 978 072-,`;
BUILDING S-i.tt; tt : NA LEFT= a - RIGHT= v a REAR= :
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MECHANICAL PERM.±.i 'Nr •l±i c±{• •�i it 7±:• ±i '}±i !i..jt' J±i 7!i 'Jk •Yi .'!i ft .• tai ')±r •Ar •A• �Ni 1!• .!•.' i�: a
CONTRACTOR- OWNER PHONE-:
ITEM Ef"1 DEs..:ixI,' I..ON QUANTITY FEE AMOUNT
GAS t'1 i G E !i IJ'` . '1 ?:J0, ?:.JG?.:J i i -B L1 12. ?},'.,
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PAYMENT SUMMARY 9k R• •P: •P: •Jt 7?• :8 4?• 'F: '1±: a:?.' .Pi •Pt .!{..R../,..1,_ .1?..}±r :v; i±i 'li' 'P: J: •P::±k •1±: i�:
PAYMENT
DATE
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PAYMENT
A l"1 t_ f i_; f','
TOTAL
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TOTAL
-----------
i" A I D =
37.00
PERMIT TYPE
FEE
».............. —
AMOUNT
_.......................... —
AMOUNT
............................................
PAID AMOUNT
...._—_.._.............—...------
— ----------------
OWING
--------------- ......................................................
MECHANICAL
....................................
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------------
...............—....................—»»----
----------------
37.0(-)
PROCESSED BY: FORRY,
jEFF
PRINTED BY: FORRY,
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