1991, 12-10 Permit: 91008518 Gas Log, PipingSPOKANE COUNTY %)EPAFITMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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. l• have read and understand the INSPECTION REOUIREMENTS/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
`PROJECT 'NUMBER=- 91008518-- .ISSUED PERMIT
DATE=- 12/; 0/91 PAGE= tat
i 1 3k A"Mil•****'jt11'iIIl**.A.ri.JPR.A.h. PERMIT -INFORMAT-ION h %#)tariff(ii#3(14#riieii*iiieriieii-kkiii 3E
PARCEL..:::= 14543-293.
SITE.. STREET= 14516 E MAIN AVE
ADDRESS= SPOKANE WA 99216 -
PERMIT USE== GAS LOG h _PI.PING
•
PLAT:„:== 00\01'E36 .-PLAT.NAME= BERT :ADD.
BLOCK= - LOT= 40NE= AGSUB : DT ST:P:== F
AREA= -- - F./(1,1= F - WIDTH= - 1 00 DE::PTH= - 1 74 R/ W==
OF BLDGE= . 4 DWELLINGS - - i -WATER -DIST =- .
OWNER= SEE, NORM)-
- ,STREET== 14516"E `MAIN FIVE
ADDRESS= -SPOKANE WA --99216”'
CONTACT NAME=_NATIONAL CHIMNEY SERVICE:. _ PHONE NUMBER= =109 922 2000
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A '
PHONE=: 509 922 2104 -
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CONTRACTOR= NATIONAL- CHIMNEY SERVICE
STREET= 7816 E BROADWAY AVE
ADDRESS=- SPOKANE WA 9920. 1
ITEM DESCRIPTION .
PROCESSING FEE
GAS PIPING
GAS LOG " -
-
F if if* ifk*###3rrf**3E# 1f 3f¥***#3f#*
PAYMENT DATE
12/10/91 --
TOTAL..DUE:= , -.
•
-QUANTITY
** -PAYMENT -SUMMARY
PHONE= 509..922 2000
FETE AMOUNT
25 , 00 .
1.00
10.00
§rfr#*if1f 3fiF3f#if ii*3f3f*3E**
RE.CEIPT4
9342._
.00 .TOTAL PAID=
PAYMENT -AMOUNT
36.00
36400
' PERMIT TYPE:: " FEE AMOUNT: — AMOUNT AID AMOUNT OWING
MECHANICAL PRMT - 36.00 - - 36.00 - .00
... - - 36..00 . 36.00 . 0
PROCESSED TAY: DOMITROVI.CH. ROBIN -
PRINTED BY: DOMITROVICFC ROBIN
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