1992, 01-23 Permit: 92000393 Range, DryerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/a plication is true
and correct, and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REQUIRE ENTS/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. l understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall no 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 (��//// APPLICATION
OWNER OR AGENT ��J�
PROJECT NUMBER= 92000393
/ .23-7t
ISSUED PERMIT DATE= 01/23/92
PAGE= Oi
############################ PERMIT INFORMATION ##################***#SRR###
SITE STREET= 11503 E GRACE AVE PARCELa= 09541-0510
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL GAS RANGE & DRYER
PLATO= 001641 PLAT NAME= MIRABEAU RANCH ADI)
BLOCK= 5 LOT= 10 ZONE= AGSUB DIST=
AREA= 00000000 F/A= F WIDTH= DEPTH=
0 OF BLDGS= i 0 DWELLINGS= i WATER DIST =
OWNER= SLATER, JERRY
STREET= 11503 E GRACE AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 924 362B
CONTACT NAME= A-1 GAS SERVICE & REPAIR PHONE: NUMBER= 509
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
############################### MECHANICAL.. PERMIT ###############•#
CONTRACTOR= A—i GAS SERVICE 6, REPAIR
STREET= 511 N FARR RI)
ADDRESS= SPOKANE WA 99206
PHONE= 509 922 3.70
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS PIPING 2 2,00
CLOTHES DRYER i 10.00
RANGE 1 10.00
**********##*################## PAYMENT SUMMARY
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01/23/92 461 47.00
_
TOTAL DUE= 200 TOTAL PAID= 47.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 47.00 47.00 .00
47.00 47.00 a00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.,.;
5704
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4
#X############################## THANK YOU ####################.*##*######***