1991, 01-02 Permit: 91000005 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303:13ROADWAY AVENUE
SPOKANE, W SHINGTON 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 Iaw 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= 91000005 DATE= 01/02/91 PAGE= 01
ISSUED PE"Rrtl:T
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SITE STREET= 3222 N C.;1:RARD RT' F'AFX;1:::1...4: 015A4-0184
ADDRESS= E 5S:::: : Y1(11<ANE WA 99212
PERMIT USE= .T.(AST5T; !.. HEATING EQUIPMENT/ WATER HEATER & GAS PIPING
PLAT4= 001 867 PI...AT NAME:::::: ORCHARD AVENUE ADD •T"iti:. 1 ...-'''8 i
BLOCK= LOT= ZONE= t.' T'}T S..t.:=
AREA= 1::•,- fa:- WIDTH= +'tEl::.•T•1..1::::
;;: OF I:t I._ D (; a = 1 4 DWELLINGS= 1
OWINER:::: T:tf 1.JEt1...:I:TZ , GARY PHONE+:::: 509 928 8035
STREET= 3222 N G1:RARLi RD
ADDRESS= SPOKANE: WA 99212
CONTACT NAME= SEARS/ / BARTON PHONE NUMBER= 509 489 1170
BUILDING SETBACKS: : FRONT= NA' LEFT= NA R:EGHT:::: NA REAR:= NA
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CONTRACTOR= SEARSPHONE= "iii'' 489 1 4 •r 0
STREET= P (i T:t (:I :=: 3707
ADDRESS= :- ,: F'CIK ANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE -Y. 25,00
GAS WATER HEATER AT1=.h i 10.00
GAS HT(:: 1:::Q :E F' < i i:i) , c: 00 > ftT1.i 1 12.00
GAS PIPING 1 1.00
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PAYMENT DATE:: Rl=C:E1:F:'T4 PAYMENT AMOUNT
04/02/9i 11 48.00
TOTAL.. DUE:::: .00 TOTAL PAID= 48.00
PERMIT TYPE IEEE AMOUNT AMOi..NT PAID AMOUNT OWING
M1..CAN:1:CCI-.. PRi•'1T 48.00 48.00 ..00
48.00 48.00 .00
PROCESSED BY: JOHN 1...A1: SON
PRINTED BY: -..JOF1N L: R CiN
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