1991, 06-25 Permit: 91003612 Gas Log, Pipingt _ _
SPOKANE COUNTY D: PARTMENT 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/applicati n 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 w regulatNg construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION f�
OWNER OR AGENT J DATE N ��
PRO_.....C. NUMBER= 00036Q ISSUED PERMIT DATE= 06/25/9i PAGE= {:!'i
PERMIT
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SITE STREET= 232i S DAVIS C''I'' PARCELO=
9009
ADDRESS= SPOKANE WAt r?, . .
PERMIT USE= GAS LOG & PIPING
PLATO= 00031 PLAT NAME= t";A!.,i::. w`.i.EW ESTATES 1ST r:, t; D
BLOCK= 1 LOT= iS ZONE= UR -3.5 DISTO=
AREA-: t.. / F.t ::: a.: WIDTH= 78 DEPTH= 160 l u,i ::::
OWNER= EASTMAN, SUE PHONE= 509 922 2i54
STREET= 2321 S DAVIS CT
ADDRESS= SPOKANE WA 9906
CONTACT NAME= TOM M i A t{YH { ONi NUMBER= ... f.)22 2000
BUILDING SETBACKS: FRONT- r•.. r••t LEFT= .• t:f,..I'T".._ +.,, ,• REAR= NA
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CONTRACTOR= NATIONAL CHIMNEY SERVICE PHONE= 509 32.:. •,:'•,a:i•:
ADDRESS= SPOKANE WA 9920•t
ITEM DESCRIPTION QUANTITY F I::: I::: AMOUNT
------------------------- -------- -------------
PROCESSING FEi::: 4'
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PAYMENT SUMMARY
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PAYMENT DATE REt.:I::..l. L: (:•',',: I::•A`r'r`#EN.T. AM{.:tI_!N•T•
06/25/9i 4089 36.00
-------------
TOTAL tit it_ :::: ,• l;l! TOTAL t f•#... j.'r.:i {!v..
:::: 3 ,':} :.::14:1
PERMIT .'...r'"r'E FEE E Ai"#f:Jl.lNT AMOUNT
PAID AMi;'t(•tI•.i..{" OWING
-. ..
MECHANICAL I��` #••; �'? {" 36.0,'.) 36.0 t1 : �:t'::t
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
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