1992, 12-09 Permit: 92010804 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 pr isi ns of any to or ...I 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 v '
PROJECT NUMBER= 92010004 SS }Ei PERMIT DATE=
A E : 1 • /cc ;92 PAGE= 01
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SITE Fi:• gSTREET= 1212 N DICK RD I•'=f ti F'�'.�..:�::.i...:N:c:: 45182„0513
ADDRESS= SPOKANE WA 99212
2
#-ERM.I. ? USE= GAS FURNACE , WATER HEATER , F•'.1:Pi:'t•It..
PLATO= 000153 PLAT NAME= BA >i:;I:•T•Tr`i ' :-, ADD,
BLOCK=:::: L..t I.F= ZONE= i IF.t._..,'?....? .tl.I.S.F•O= r..
AREA= I:`/r`3 , F t4It I Fi-:: is;E::P TI••i=:: ice.° /i,.i::::
0 OF BLDG:3= '' DWELLINGS= WATER i::l:,`. .T =
OWNER= ANDERSON, ti VID RI-lOINE:._ 509 927 2607
STREET= i '1 •:' N DICK RD
ADDRESS= SPOKANE WA 99212
CONTACT NAME= GARYBARTON F:=I..Il.:)7``I?::. !'~1U 'i:BE:.I'.,':::: 509 `)':'.:f ..5000
Li:E ..„:FNix SETBACKS : FRONT= NA I...i:::F..i':::: ''-j1/: RIGHT= NA REAR= NA
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CONTRACTOR= BARTON HEATING •": A/c:: INC PHONE= 509 922 5000
STREET= 1 I 0 1 : E:: MANSFIELD AVE 0003
=:3
ADDRESS= 'O? WA 9920
.i:_CE:iM DESCRIPTION QUANTITY FEE:: AMOUNTt:,(•3,`, WATER, HEATER ! 10,00
GAS HIG EQUIP< 100, 000>BTU 12,00
G F-,.+ PIPING ..j 2.00
*'P:it..Nr i„i.;k*3?'*'1!•'Pi'7C*hi'Pi:7(..p:9'.il.:,C 3C*'Pi Pr'F.'ik i?•ik'P:*??• I-`f'i`('e"t I::.1'+? i SUMMARY ';t•i+:';i.i,..;t:*ii..a..)i•'it•'it;';t•**'h:*fit••;r:fi;'ii•1i•*i+i•'it:'n:ii•
PAYMENT DATE #- l •N: PAYMENT AMOUNT
12/09/92.: 111 .2. •i 9,00
TOTAL 1)1 11::.:::: , 00 TOTAL I-'f..Y.F1.l:::: 69.00
PERMIT TYPE FE::E:: r=i'/?Oi,iN_.I. AMOUNT Fri !
AMOUNT OWING
t'tE::C:iIf•'it''I:I:C:!•"•'tI... F=F;t•1'I' 49.:0 49. 00 .:00
49,00 49,00 „00
P'••'iIC =:,,.,`.•.D BY ,,E. DEI... , GLORIA
i"PJ.N'TED BY : WENDEL.. , GLORIA
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