1991, 07-10 Permit: 91004113 Furnace, ACSPOKANE -DEPARTMENT OF BUILDINGS
W. 1303 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 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= 91004113 ISSUED PERMIT
DATE= 07/10/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 4031 % FOREST MEADOWS DR PARCELO= 33543-0108
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE & AIR CONDITIONER
PLAT4= 000875 PLAT NAME= FOREST MEADOW ADD
BLOCK= LOT= ZONE= UR -3.5 DI%T4=
AREA= 00030797 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= 4 DWELLINGS= i WATER DIST =
OWNER= THOMP%ON C R • PHONE= 509 928 5795
STREET= 403i % FOREST MEADOWS DR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BARBARA FITZGERALD PHONE NUMBER= 509 489 1170
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= SEARS PHONE= 509 489 1170
STREET= P O BOX 3707
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
GAS HTG EQUIP<100,000>BTU
AIR CONDITIONER 0-3 TONS
1
25.00
i2.00
i2.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RE0EIPT4 PAYMENT AMOUNT
07/10/91 4589 49.00
TOTAL DUE= DUE= .00 TOTAL PAID= 49.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- ------------- ------------ -------------
•
MECHANICAL PRMT 49.00 49.00 .00
------------- ------------
49,00 49,00 49.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************