1991, 02-08 Permit: 91000440 Gas Log, PipingSPOKANE COUNT 'ARTMENT OF BUILDINGS
W. 13d BR )WAY AVENUE
SPOKANE, INGTON 99260
(509) 56=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 ordintiices 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 thefrovisigns of any state or local law regulating construction, or as a warranty of conformance with the provision s of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION /f
DATE i�
PROjECT NUMBER= 9100044
PAGE= 01
k•**hi***ik*7i•ii• i•isii•;i• ii -ii i:**i;.iu- PERMIT INFORMATION i;: :kk:r::r. ikiiik;:JFycisi:::ie*•yi*•yk•yi•i(isiF:ibibik
SITE STREET= 12?22 rti:i_DR P ^ c # r _ n _ 277547-700
ADDREr`-: SPOKANE on
9::;''•i...
PERMIT I t.J 4E.= INSTALL GAS LOG ... PIPING
PLAT NtlMI.:•_.. i_iIi...t..I.:RE:S i ACRES 2N1. Ai?;;
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DWELLINGS= •1
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:.::TREET= �•i9! E. #.' FtR1E ,. —.
i� i I,JJR \,1 , SPOKANE w41 •99.216
CONTACT NAME= JO—NAS PHONE NUMBER= 4A7 407i
.
BU%i...D:i_Ni:.. SETBACKS: f— -;-. JA LEFT,, ` RIGHT= tREAR= NA
* it• .k /k ii• i1r P. ii• .Ji :1 •J4 (hi 3i ii it• JI * :•k ik yt• :k A # i(P K ii. * MECHANICAL N I^ i•+.` ;`'i I.. t i4• •Jl• •Jt• 'A * y4•'y4.1A ik ik'yk ik'P: ik i;: * Pi :ni ik ,K it•
CONTRACTOR j._—NAS
STREET= PO PDX
ADDRESS= SPOKANE
WA
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ii"I:::'� ING FEE
PtPING
GAS LOG
DATE
DUE -
PERMIT .T..:Y: l •:'e
MECHANICAL P i M T-
c, 9 7 f_1':_;
QUANTITY
L.. r_i:" AMOUNT
T
25.t.:/0
1.00
r. A " .1 t.:..•.I T S i iM k :. e; 'Y'
R CE1. "f v PAYM :I 1 AMCLINT
587 -36.00
0 TOTAL. PAID=
F7!.. AMOUNT AMOUNT Ury ! I•• A!y AMOUNT ! Ou N#.Y
NTED BY: JOHN LARSON
36.~0O Ott?.:00 .. ?036.00 36,00 .00
L . y: -.f.. 4.- ........ 4 ....y. K •.y.. ii.3: J;y;: ii,. . a;. ar,:. ': r1(• THANK i 1 l 3 9 ! * * ! £R i;. * k X k*:k k ..,.:. 11: ;. .:{:k... .ia