1991, 11-21 Permit: 91008075 Gas Log, Piping•
SPOKANE COUNTY DEPARTMENT OF BUILD!,NGS
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 permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REOUIREMENTS/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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction 4
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91008075
ISSUED PERMIT DATE= 11/21/91 PAGE= 01
.******tett..*..*..*-i.***%************ PERMIT INFORMATION ****;i..>r**.******..***..***
SITE. STREET== 10506 E HOLMAN RD PARCEL.. ::= 105441'-1604
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS LOG 6, PIPING
PLATO= 001 296 PLAT NAME= IL.L.E:::R SST ADD
BLOCK=:' 2 I._CI1:=. 4 ZONE= A(:.S(JE+
AREA= 00000000 F/o-"1== F WIDTH= 130
II: OF BI._D(:;S= 4 DWELLINGS= 1 WATER DIST
DTST:a= I%
DEPTH= 316 R/W=: 60
OWNER= PERKINS, f; D PHONE,— 509 922 7978
STREET= 10506 E HOLMAN RD
ADDRESS== SPOKANE WA 99206
CONTACT NAME= NATIONAL CHIMNEY SERVICE PHONE NUMBER= 509 922 2000
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT- N/A REAR== N/A
**)i**fl$..*3********3r*fl;c*3i**3*4* ri* MECHAN.I.CAL. PERMIT 'Jl'JI***n**A'***'Ii'* jl'Ik'Jljl.•JI**'***•
CONTRACTOR= NATIONAL CHIMNEY SERVICE
STREET= 27 W BOONE:: AVE
ADDRESS,;- SPOKANE WA 99201
ITEM DESCRIPTION QUANTITY FETE: AMOUNT
PROCESSING FEE: Y 2500
(:;AS PIPING 1 1,00
GAS LOG 1 10,00
PHONE= 5.09 326 7:388
)ilii di. .) dpi)i oe 3e*e)i—Hdi< Ji•) it .ii. id ie*)e3
ii)&*3:**ii-* PAYMENT SUMMARY icis*********
:ie di ie ) )e*1**
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
11/21/91 8893 36.,100
TOTAL DUE- .00 TOTAL PAID= 36,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL. PRMT 36.00 36,00 .00
36,00 36,00 . 00
PROCESSED BY: DOMITROV'ICH, ROBIN
PRINTED DV: DOMITROVICI-I, ROBIN
9i*pi..)i..x..tt.:rq:t(..K..)i..k..)F9p.n..0..r:9S..g..)i.....g.y;...**...* *.)e.**fit. THANK YOU .)i..ri)r:******iia(R.....;e.x.....u..)i..h.;;.ai e ai ttae ae ;o -..n.