1992, 09-04 Permit: 92007199 Mechanical FixturesSPOKANE-GeUNTY 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 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 l 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
PROJECT NUMBER= 92007199
ISSUED PERMIT DATE= 09/04/92 PAGE= 05
**************************** PERMIT INFORMATION
***************************
_ SITE STREET= 4621 N LARCH RD PARCEL.= 45041.0404
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS WATER HEATER, HEATING EQUIPMENT, & PIPING
PLATO= 004984 PLAT NAME= PEPLINSKIS IST ADDITION
BLOCK= 1 LOT= 4 ZONE= UR -3.5 DISTO= H
AREA= F/A= F WIDTH= DEPTH= R/W=
O OF BLDGS= . i O DWELLINGS= 1 WATER DIST =
_ OWNER= HICKMAN, TOM PHONE= 509 924 2948
STREET= 4621 N LARCH RD
_. ADDRESS= SPOKANE WA 99216
__CONTACT NAME= PHONE NUMBER= 208 455 4147
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR== N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= INLAND HEATING & COOLING
STREET= 3655 E GOVERNMENT WAY
ADDRESS= COEUR D'ALENE ID 83814
ITEM DESCRIPTION QUANTITY
. PROCESSING FEE
GAS WATER HEATER
GAS HTG EQUIP<100,000>BTU
GAS PIPING
PHONE= 208 664 4153
FEE AMOUNT
Y 25.00
5 10.00
I2.0
2.00
****.*************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/04/92 7381 49.00
TOTAL DUE= .00 TOTAL PAID= 49.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 49.00
49.00 .00
49.00 49.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
******************************** THANK YOU *********************************