1992, 07-15 Permit: 92005306 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 perm it/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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P +_,•_....r;T NUMBER= 92005306
ISSUED PERMIT DATE=: 07/15/92 PAGE= 01
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SITE STREET= 4105 �" :•' HOLLOW I(.OI...I...0:IW CT I.:r•"ti'�(.:i::.i...:�:'- 45333.1006
„„
ADDRESS= SPOKANE WA 9926
PERMIT USE= AS FURNACE — WATER HEATER -- PIPING
PLATO= 000377 PLAT NAME= FOREST MEADOW 'i ST ADD
BLOCK= 1 LOT= 6ZONEI_ UF -";:,.... D:L'S•T•O::
AREA= F, A= F WIDTH= DEPTH=
1 OF BLDGS= r DWELLINGS= i WATER DIET =
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OWNER= T: iR(:ODEU. R, MARK PHONE= 509 922 1324
STREET= 4i0`_S . HOLLOW CT
ADDRESS= SPOKANE WA 99206
NT E i ..: (' NAME= . ? & i"i QUALITY .... ED MERTENS PHONE NUMBER= .., ;;9 920 ......
SETBACKS: FRONT= + NA I...E::E::•T.... NA RIGHT= Nf REAR= NA
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:+: j(: 7l..11..o..ji..H: ')�: ')+: 'Y.• i+.• 'P: •P:•P:.P..j+.:p:.),..)�:.N..j+..jl. ,i+...A...J+. yi..A: 'A::'l' 'P: 'li i"� 1'� t.: +.`'I H N J. 4: H L PERMIT 'h: Y:.F:..ji..j{..A..I•.• A K 'a it K F.' 3i' K R K T. X li' }t X:L n H• H
CON T I; TOR = '�)& i M J Tt i I hiI'%f11 C.i'.'E_ ,......E::(_' IN PHONE= 509 923 2100
ADDRESS= SPOKANE WA 99216
ITEM DESCRIF:'i:I:ON QUANTITY
PROCESSING FEE
GAS WATER 1lEA'T'I:-1
GAS I•dTG EQUIP4100, ?)'))I:{TU
GAS PIPING
F: EE,: AMOUNT
25.00
10.00
17,00
.... .......) ,.... , .. N ,,t • -•. y • .... .... +
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PAYMENT DATE: RECE:::IPT:d: 1::'r•4''(i"?E:.:I'j1 AIL?(.,1:“;
07/19/9n 548.2 50.00
TOTAL. DIFF .= .00 TOTAL FAN, :::: '.;0.60
F:'l:::RMIT TYPE FEE: AMOUNT AMOUNT PAID AMO,.�N'T' OWING
MECHANICAL.. P RMT 50.00 90.60 .00
50.00 50.00 ..00
PROCESSED BY: WENDE?..., GLORIA
PRINTED tt t : W i::. N D E:. E... , GLORIA
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