1991, 11-15 Permit: 91007878 Mechanical FixturesSPOKANE COUNTY 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 REOUIREMENTS/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
OWNER OR AGENT
PROJECT NUMBER= 91007878
APPLICATION
DATE
(7 /s -- T,
ISSUED PERMIT DATE= 11/15/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12011 E FREDERICK AVE PARCEL..4= 09541-0105
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL HEATING EQUIPMENT & PIPING
PLATO= 004641 PLAT NAME= MIRABEAU RANCH ADD
BLOCK= i LOT= 4 ZONE= UR 3.5 DIST4= F
AREA= F/A= WIDTH= DEPTH= R/W=
4 OF BLDGS= i 4 DWELLINGS= 1 WATER DIST =
OWNER= CLARK, RON PHONE= 509 928 4828
STREET= 12011 E FREDERICK AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STLIRM HEATING INC. PHONE NUMBER== 509 325 4505
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= STIJRM HEATING
STREET= 204 E INDIANA AVE
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION
PROCESSING FEE
GAS HTG EQUIP<100,000>BTU
GAS PIPING
PHONE= 509 325 4505
QUANTITY FEE AMOUNT
Y 25.00
i 12.00
1 1.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
41/15/94 8740 38.00
TOTAL DUE= .00 TOTAL PAID= 38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 38.00
38.00
38.00 .00
38.00 .00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU *********************************