1992, 12-08 Permit: 92010767 Mechanical FixturesSPOKANE COUNTYkEPARTMENT 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92010767
ISSUED PERMIT DATE= 12/08/92 PAGE= 01
it a ******* •****** * ******* PERHIT INFOR 1ATIoN * x************* ******#*xx
SITE STREET= 4204 S FOREST MEADOWS DR PARCEL::- 45333.060i
ADDRESS=:: SPOKANE. Wry 99206
PERMIT USE= CTAS WATER HEATER, HEATING EQUIPMENT, & PIPING
PLATO= 000875 PLAT NAME=: FOREST MEADOW ADI)
BLOCK= 6 LOT-: i ZONE= SFR DISTO= E
AREA= 00000000 F: A= F WIDTH= DEPTH:= R/W-
4 OF BL_DGS::= i : DWELLINGS= i WATER DIST
OWNER= STANAWAY, RUSTY & ANDREA
STREET= 4204 S FOREST MEADOWS DR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= K T U OF SPOKANE
BUILDING. SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR:- N/A
PHONE= 509 927 5491
PHONE NUMBER= 509 467 4000
****** ****** ************ * *• MECHANICAL PERMIT *** **•*********au x**** ***
CONTRACTOR= K T CJ OF SPOKANE
STREET= 88 E WESTVIEW AVE
ADDRESS= SPOKANE WA 99218
PHONE= 509 467 4000
ITEM DESCRIPTION QUANTITY FEE AMOUNT
µ—
PROCESSING FEE _..._.. — _.__ .._ T___—.w_.._.._ ______25.00
5 n 00
GAS WATER HEATER i 10.00
GAS HTG EQUIP<100,000>BTU i 12,00
GAS PIPING 2 2.00
**** ************* ******** * PAYMENT SUMMARY ►**** *********uai***x*** •***
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
12/08/92 1065 49,00
TOTAL I)UE.:- .00 TOTAL.. PAID= 49.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAIR AMOUNT OWING
MECHANICAL PRMT 49.00 49.00 ., 00
49.00 49.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
af• ************ ************* THANK YOU *******************.x.*