1989, 05-31 Permit: 89001525 Gas PipingSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY -
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REOUI REMENTS/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 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_ cr. APPLICATION
OWNER OR AGENT `�- • DATE u� 3/-8
PRO.JECT.NUMBER = 9001525 DATE:::: 05/31/09 F
IS,SUE:D PERMIT
*****************K********** PERMIT INFORMATION *: Ei•;e.tr*********** : i*;i :za; :>:-;r.:
SITE STREET= 10004 E HOLMAN RD
ADDRESS=. GR:EENIACRE-::S WA 99016
PERMIT USE= INSTALL_ GAS PIPING
. PARCEL 0544 1 --1 303
PLATO=: 999999 F;L..i1T NAME= I{r1Nf:;l:i:��y
BLOCK=- ": LOT=3 ZONE AGSUB I):I:.S'T',1:::::
AREA= 00000001 • l','A:::: F WIDTH :: DEPTH=
.k OF 14 D'_ - DWELLINGS= 1
OWNER=_ FEY; FRANK S
STREET= 1 0004 E HOLMAN RD-.
ADDRESS= GREE/' -'.ACRES WA 99016
PI -ZONE=:
CONTACT NAME=. DON SIMONS PHONE NUMBER= 509 •_; ;838
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************K************* MECHANICAL PERMI( :g: K) 3 dc.i * )t b: a dr k it a{ ;i 3, # ri
CONTRACTOR= GAS SEPVICE COMPANY
STREET= 61 0 COLLINS RD
ADDRESS='SPOKANE WA 99':.'.16
PHONE:::= 509 924 5088
ITEM DESCRIPTION QUANTITY FIii:E: AMOUNT
PROCESSING FEE '' 15400
GAS. PIF'INi= 1 450
MINIMUM FEE ADJUSTMENT Y 4,50
.***** cacao*********;::n ..:*.h..n..****** PAYMENT SUHMARY*x*###tt)fiiai)Eu)E#1f)i**n)::i.;_:...?z:e::
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/31/89 - 1 892 20.00
TOTAL.. DUE= .00 TOTAL PAID= 20.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRM'/ 20.00 :'0,00 .00
20.00 <.'.i;.,00 .00
PROCESSED BY: STEVE HOL_YI;
PRINTED BY: STEVE I -IOL.`/ K
.)(..)3j) f/. )f..g..1.4f. 4f:41. p. n. }: );. j. a::'i 9i {y. $ )t..,)..p...p...p}.yt..h..ji.
THANK YOU *;