1992, 12-17 Permit: 92011043 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
.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 compi le 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 law regulating construction, or as a warranty of cant ormance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBEE'= 92011043
ISSUED
.... . )
.L.';j(iiE.h> E'� iaE{i•i.L',- DATE= 12/17/92 01
,. - I
ie di�?i'?i��D:�h}�g—dt ii' X ii�ri�ik �,p {r ��{i�ie ri�?e ri. r:::h '1 .Li .L I'!T lJ'�: 1'9 F?1,. i. i' ,i..ii. ip ra)¢*i4**14'**i )'? Klrn)leii�ik 3:i ie
SITE S'i REE :—: 4115 s HOLLOW CI PARCi'r.i...tib- 45333 s , :::,8
ADDRESS= SPOKANE WA 99204
PERMIT USE== GAS FURNACE, WATER HEATER PIPING
'I..AT='= 0000 77 PLAT e1AME-- FOREST MEADOW i ST ADD
i..(7"i'._ 3 ZONE= UR -345
EiE:A=: Pr;'A- P:' WIDTH= W, DUE.r'TH--
i.Jh AiL_U(r;E>== i ;r DWELLINGS= i WATER 17iS1. _::
iOWNE: R:= it;-li1:I CO T , ROBERT
STREET= 4115 HOLLOW CT.
ADDRESS= SPOKANE WA 99206
PHONE= 509 9:24 ¢i.i 11
CONTACT NAME= ED ME TENS -- A 8, M QAULITY H-Ct; -'Hf NE: N;MBEER .:
BUILDING ..r.., .t. LEFT= RIGHT= tE lJ_jr'ri.1cS f';,:u;)I'=. r36{ l._I:.I_i== ?�Ir; nA. il. NA REAR= iJF;
928 2 1 '[%'ll
.. .
if?r.li..i;..n?t,4x�?t?r it ii�bi:k*************** ?:: re P'SL'. t.: Flr"tV I. (:;AL. I"'L.I"i rS: 'T itn rrxreir ave �m or{a ii�9i�ii�ii�}i ii�ip ip is iii }i ig }rir}
................
CONTRACTOR
STF{F_L I
ADDRESS
_r=) :c: :ii --c; F-HONSE —= I'5 928 2i00
c. i"i QUALITY r=l i...:C T' Y i i T G `. ETEC '"' `
12/10 E INDIANA AVE
SPOKANE WA 99716
ITEM DESCRIPTION QUANTITY FEE AP'ii"aiNT
PROCESSING FEE Y
GAS WATER HEATER • 1'.:),' 0
GAS HTi:: ECQhl:PC O0, 000);1 11 1 --, 00
GAS PIPING
3...3.3.3... . .
�tc i:: ur iv s—.m ii. ip «; ?i -*****************1 i�>i..ri. ap PAYMENT l.)rl t1 r-: E: )4 ?u?i *
32: )i ;i n 3r ?1? ii? )i 9i—ii- * -X- * )ie {i.
_. .. I PAYMENT
.
IE'r°�'i i=TENT DATE Ii: i:=C;l_'I'!'-'1 i'r'1'Yi•fi:ll- AMOUNT
T
12/17/92 1 7.5`_7 49.09
TOTAL Di._i[== .00 TOTAL PAID=
'S+y.tq g
FEE AMOUNT t; r'!....J!! ! PAID AMOUNT OWING
49,00 49,00 ., )e
3333._._. _-_. ...._....._.... ........................ _...< y`-
49.00 :9, 00 - 00
PERMIT TYPE
MECHANICAL F'R,,IT
ROC E:'z:;i;Eil; T3"r': W ---NDE..., GLORIA
PRI:NTEi:i? BY: WENDE-:L_, GLORIA
3333
s:. ar �n: dU {r {r {p {pit {i. 74 {a * ip {p {p ip * 3:i * * i:: iii )r ii rt i:' h) ii it ft h: THANK
X---. di- 3p n- di -)& )i ii..)i.32..? i.:n. )r X.