1991, 08-28 Permit: 91005361 Gas Log, Pipingii
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE"
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT (G1il/I///Lf!/�'^— DATE
CATION 871'..2g.
PROJECT NUMBER= 91005361
ISSUED PERMIT DATE== 08/28/91 PAGE= 01
*************************3t** PE.RMMIT INFORMATION *******3n********%********3t**
SITE STREET= 12323 E MACY CT PARCF_L4= 27542-3223
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS LOG & PIPING
PLATO= 000915 PLAT NAME= GAIL'S PARK ESTATES
BLOCK= 1 LOT= 19 ZONE= UR -3.5 DIST4= F
AREA= F/A= F WIDTH= 87 DEPTH= 125 R/W= 50
A
OF BLDGS= 0 DWELLINGS= 1 WATER DIST =
OWNER= HARDEN JACK A PHONE= 509 924 48.9
STREET= 12323 E MACY CT
ADDRESS= SPOKANE WA 99216
CONTACT NAME= JON JOHNSON PHONE NUMBER= 509 922 3704
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A—i GAS SERVICE & REPAIR
STREET= 511 N FARR RD
ADDRESS= SPOKANE WA 99206
PHONE= 509
922
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS PIPING 1 1.00
GAS LOG 1 10.00
3704
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
08/28/91 6083 36.00
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 36.00
36.00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
36.00 -.00
36.00 .00
******************************** THANK YOU *********************************