1991, 09-18 Permit: 91005909 Insert, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
i
•
I certify that I have examined this perm it/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 perm it/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
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Riii.t :I:SEi:D
D'TE- 07/18
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S CREE1 = 'i z23 3 E i.•i(';i_'.' (:"j' PA;:C:E:.(..5:::::
ADDRESS= .?POi<ANE WA
PERMIT USE= GAS INSERT n PIPING
PLAT:,;.- i.','00915:) PLAT NAME= i-AJ.i...',S PARK
AREA=BLOC
LOP, ZONE= U DIST0=
I..•;('1 ( i:ti....l..i:.:. (1/ DEPTH=
iF f; j::' UL..DG t'= 0 DWELLINGS= S WATER i. T .'T ....
OWNER= mARDEN, JACK A
STREET= 12323 E MAC,' i,1.
ADDRESS= SPOKANE i,1rr 99216
i::f i.;'(fI`T NAME- FAL..( (:J (:;F'ARi_DI 11C:Ei:NTE R
+i.i:i:i...%-:i i'ih SEi:TEi+r:d7ii9, : FRONT= NALEFT= n.
PHONE
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ANE 509 926 = >1
CONTRACTOR== --hli_CO GARDEN CENTER INC
STREET= 9310 E: SPRAGUE AvE
ADDRESS= SPOKANE WA —,206
it
ITEM DESCRIPTION
PRON.—SING R'fi:fi:
GAS ' PING
f;A.. _OG
PAYMENT DATE:
1 1/91
09/10/91
QUANTITY FEE AMOUNT
PAYM'rEwr Ui"MAR'i
RECE):F Tr:
6 648
TOTAL DUE= ,C),, TOTAL PAID>::.
PERMIT TYPE FE:: ;MOUNT :1"i UNT PAID ,r:::rIOUN1owTHG
MECHANICAL PRMT 7,6 00 36,00
...................................................
36 ,. 0
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