1991, 07-26 Permit: 91004549 ACSPOKANE COUNTY 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. 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 conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
P fir -S.. .. Et.: r NUMBER= 91004549
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PERMIT UEE=. AIR CONDTTIONF:.
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A!y EA== 000127 , r,,A= i... I ;. .
.,:. (.) F �'; :... A: f Y :'.::: h' DWELLINGS= 1
OWNER= 1ARD I N, LOI7 I
STREET= 3409 N LocKwou ST
ADDRESS,:- SPOKANE WA 99206
CONTACT NAME= FILEN Ol T
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CONTRACTOR= NORNORCO HEATING ATR cm -JD
STREET= `.T= -%1 i:! !RENT AV
ADDRESS=. SPOKANE WA ';192i2
ITEM DESCRIPTION
-PROCESSING FEE
Air CONDITIONER 0 -3 -TONS
PHONE= 909 7,74 97
FEE AMOUNT
*?* iR9ik +Nis 3 R ViR {kx11 P 1 ( 9.n• *ti!tPAYMENT 3 _Pm +r .
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PAYMENT
DATE
RECEIPT .F:.PAYMENT
,
5081 37,00
TOTAL DUE= .v.;•, ••.
• PERM' T TYPE FEE AMOUNT AMOUNT Pr•"t:iD AMOUNT. i;:.iiNG
":ECiHAi'4iCAi_. PRMT ...DO :X -r ..00 , 00
.37.30
PROCE E.Y . WENDEL, GLORIA
'•-'R''.' 1 += BY: WEN':)r: i , c;i...i!I+ IA
M xi9}Ai4 Pr vK i3*1G ui-• 1{• ...:.. •i+ i`+r jH..)i : THANK -
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