1991, 01-04 Permit: 91000042 Gas Piping,-_ i ;. 4
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3615
1 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 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 iocal law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE —
1I'i.IEL.•.. NUMBER= 0000042 �"1`5 • O=ji"1
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PERMIT
..M•- INFORMATION . , F O R y: ., T . O Y•J i?- F' ?!- 4l- $i •/V li i, ii .j{.:x: it li' 1!. P. ,„. �i..jf..„ , ai..j'..N..j,:.:1+` :n' :,G ;oi
SITE STREET= 06 N DICK RD
ADDRESS= .;1::,!.:.{KANE teaA 99206
PLATO=PERMIT USE= GAS PIPING
PARCFL4= 18543-050.3
r:>>: i i 32 Pi...r'?T NAME= HARRINGTON'S A:(:D.:'i O !••ili'1'f'i•'(1'i'u SON
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-# 0 DWELLINGS=
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t:iklNE::R=
SC'::E•I:CN'1.:;#...E:E:, STEVE ..1PHONE=
509 924 704
STREET=
4iA N DICK RD
ADDRESS=
SPOKANE WA 99206
CONTACT NAME:::::
STEVE `'CHINDLER
PHi:::)NE:
NUMBER= 509 924 704
BUILDING SETBACKS:
FRONT= NA LEFT=
NA RIGHT= NA
REAR= NA
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CONTRACTOR=
OWNER
PHONE::::
ITEM M
DE:::`.:'CE;3:PTisC:1N
QUANTITY
FEE AMOUNT
.......................................-..._.............._.........._
PROCESSING
...- ...
FEE
Y
25.00
;.Y,:,;; PIPING
IPING
_i
dry!'
j
USTMEN
PAYMENT � �n U M M A t,• Y 1!• a: •x- 1e �r �i' ?f• itr :!' •n; •;r •x- �i. i,. �,.:,,..,i. i,..A: -A- :ri' ::::.J,..1,..1� �a .,,.
PAYMENT DATE RECEIPTO PAYMENT AMOUNT'
TOTAL DUE= loo TOTAL PAID= 35lot.-)
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
............................................................................................................ —------------ ----------------
MECHANICAL
......--_..—_......—_........ ----
----------------
35.00 3510(.') . 00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTIO
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