1991, 07-12 Permit: 91004174 Furnace, PipingSPOKANE COUNTY DEMENT 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= 91004174 IESUED PERMIT
:u ATF .. 07/12/9i
,... •"R-..-... .. NFOR-.::..,_ .,.
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SITE STREET= .::.-."�'1 6I'? (:� :�: F+`hi?��'. �I i•'; (:% i:f�;`C• 12534-2703
ADDRESS- lANE WA 99'.'
PERMIT USE= Ls (••i ,`.: FURNACE T : PIPING
...ATO— 001674 PLAT NAME= MOORF EUB
AREA= 00000000 , / r" = ;.. WI i.j . 1..i , DEPTH= I:.° �`i,:j::::
•x• 1..11 • . Y•ii•• :•'= .y 4 DWELLINGS= .......
OWNER= REVF1L,
1 REE:. f:::: 2316 ±'•! GIRARD Ri,
ADDRESS= SPOKANE WA 99212
CONTACT ._.'..f. I'df3f3i::::::: ;..•f'•?i=t:j, HEATING
BUILDING SETBACKS: i::' F; (l i N 'F' :::: NALEFT= NA RIGHT= NA NA
PHONE= 509 924
7600
PHONE 509 325 4505
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CONTRACTOR= ST j':;.•M HEATING
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4 E INDIANA AVE
A d i 1.? 1":1::. - :;' :::: SPOKANE WA 99207
ITEM .i) i::.E c:: F i.: f .i. 1..1 ?`•I
F'ROC::is::,`.: is tic; I::'i:::E:
GAE HTG 1.+ 1 1 1 ` +-}ii , i:ii:i!} rTi• •i i
GAS PIPING
PHONE= 509 325 ,:�•,..i,:::
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QUANTITY FEE A3i?..UN?
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12 �
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/12/9i ,: ..
................................................
TOTAL DUE= ,00 TOTAL PAID=
38.00
PERMIT TYPE FP`E:: FF•E::l::. AMOUNT AMOUNT PAID AMOUNT OWING
i`'1E::C:F-1r"iN:1:i..:t=11... F`Fti`iI• 38.00 30„00 AO
38,00 38,00 00
PROCESSED BY: JULIE ,:: ;..1 r`:i 'i- T" f:i
PRINTED BY: : Ji.J1...isE:: ,`.;'F1f3 1•••f•I.J
.+i .P:.ii..ii• b1 i++i 'Ni .+:.+i .i• •Ai ...+i .+i * .+r •ii..}i....P..... •P.• •i. . 'Ai .... •Pi ....R. THANK Y J !AC Pe TPPPC * R ! 7
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