1992, 09-11 Permit: 92007504 Water Heater, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE;WASHINGTON 99260
(509) 456-3675
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 perm it/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
PROJECT NUMBER= t )7504
3{MM3f3in3{3{38Sddh3i9i'3i.p;'3i aii3k 3i
3.:
ISSUED PERMIT DATE= 09/11/92 PAGE= 01
i3i'3i3a PERMIT INFORMATION *.x
Ali_: STREET=:: 1905 S MAHER RD
ADDRESS= SPOKANE WA 99216
PERMIT LISE= GAS WATER HEATER, PIPING
PL_Af4:•:: 002717 PLAT NAME= VA1..l._EY HEIGHTS ADD
BLOCK= 1 LOT= 3 ZONE= UI:' -3.5 D:[STO=::
AREA= T:'/r"):::: F (WIDTH= ::PTFi'r
41 (:il=' BLDGE= i 0 DWELLINGS= i WATER DIST
3i 4 )i'.; .) 9{.3{.
i nri'*3{34 n; Si if 3i 3i3k H 3i.){..g.
PARCi-L;.= 4527541348
OWNER= HANSE.N, LYLE:
STREET= 1905 S IMAHER RD
ADDRESS= SPOKANE: WA 99216
PHONE=
cr
CONTACT NAME= BANNER FURNACE PHONE:: NUMBER= 509 535 1711
BUILDING SETBACKS FRONT=-: NA LEFT= NA RIGHT=:: NA -'EAR= NA
3i. dF3{.Si..31)'Pia{.*•)i..*:ie3f..k,*.X3..)i..R')@ 343{14'34.3{)i' Sp3{'3{'3{.* MECHANICAL ''::.'?I I.. * * 3i' H..1{..iF * * 3{' it rt' ){' m * i4 h. rt rt 3f * it )h ir')i* ii'
CONTRACTOR= BANNER E'tJFiiJr1L:r_. &. FUEL CO INC PHONE= 50?a:> 1711
STREET= P 0 BOX 4346
ADDRESS== SPOKANE WA 99202
3i3i* 3*
ITEM DESCRIPTION
PROC.E:.SSINC., F'E:E.
(:;A,' WATER HEATER
GAS PIPING
QUANTITY
FEE
;MOUNT
Y
25,00
'i 10.0'0)
1.00
* 3E3F343E3E#iE3e3fiE******03?*3i PAYMENT SUMMARY ****313* 3r 3e%3t'#3e re#a'ti'3e i4#3f3e s*****
PAYMENT DATE: RECEIPT;: PAYMENT AMOUNT
091i1/92 7629 36.00
TOTAL. DUE= .00 TOTAL. FA:[D= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL. ERMT 36,00 36,00 .00
36.00 36.00 .00
PROCESSED BY: WEi'DEL-, GLORIA
PRINTED BY: WENDE::L.., GLORIA
*h*H3i'R*3{h*i{*3v){)iii*x)e***** *){****ii TI -TANK YOU *IN,
*************************0**
' _ �.;-,.wi:,�r?Nh4 wA ��,s''24.:�Y::15'4'�';'F'y;•r;:^'�::.TK.e `.�'i�i.'.�.f.�3't:
-t}.SPOKANE COUNTYtSEPARTMENTOF BUILDINGS`°
.W:-1iO3BRQADWAYAVENUE.,• ,:�,
47—SPOKANE;WASHINGTON`99260:
.,..�,., - r= (509)456-3675 - ..
Ind coify tectI hays eexamined thioperm-kane it/tCounty to ethatthprocessing: In additiod n,r1 have read and by me orad tahe t INScECTIle Osaid QUIREMEN S/N istrue
and correct, and authorize Spokane County to proceed with processing: In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE i
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 '- " r``O1'`'lt :','
'. may';M:% Y
PROJECT
NUMBER= 92007504. ISSUED PERMIT.
=•: "b�::,.1 -. 'i:.:Yn, �.•v�.�;d, f3; i:D"r�. +ra _ __ tr.HEL.__
is i4 ii ii re ri iir ieieie**i4M: itwi4iriek i(i(i(•3FXi(•* 1'ERIYIT?,:I:NFOR'r1A•TIONi('R**ie#k%*irii3tiiiv#iei(nii
;PARCELY t .,452.79 .!i 34B
T7
SITE 'STREET= ,<905_,S MAMER `RD„
ADDRESS SPOKANE::,.WA";9A2'i 6.
PERMIT USE= GAS WATER HEATER, PIPING "
PLATO== -002717 PLAT NAME= VALLEY HEIGHTS ADD • •
-BLOCK= i L_O'r=;'. . ,,3`•I''ZONE:'=: ;_UR -'3.`i :'DIST`:_:,;:
- AREA= .' • ..'."F/A= '.:Li]DTH:::: :. :DEPTH= • .:R/W=
OF BLDGS:=. ; i-. 4 DWELLINGS=. L.r :;i'' M.: WA;rERDI,S'T' F
OWNER==. HANSEN, i.-YLE,F'F'ICINE= '
'STREET= 1905 S MAMER RD'.
ADDRESS SPOKANE .WA '99216
CONTACTIil)4F=- Fti}NNEiRFURNACE--.-.:•':.; F'HONE:,..NUMBER= 509 5:'+, 5 1 711
BUILDING SETBACKS: FRONT NA TEEM.' NA -c2 RIGH=._NAy:i(kREAR==9N.
)hr<i(ai(iFi4iii(iiiF?.**.i(;(•i(iF'N•,H•it.k'.a•.#.ie,i(•ii**,4** P1ECHANIC. A(_ +EPE RH'I F niiieri•34xtiFiFi@i(H9[i(•.i('i(•.f(iel('h#ie ii'>t x14 n)IE
PAGE-- 01
CONTRACTOR= r+-ANNEfi'_.FUI;NAGE.4: FUE1_ CO. 'CNG 'RHONE_=,.
ADDRESS== rPOI` ANf A-9..971?
1:TE:M DESCRIPTION '' ,`QUANTITY
PROCESSING FEE; +gin
GAS.,WATER HEATER 'a,?»
i;..#iiiH)e ii ii ii ii kdi id iii iori N' B:i(it a ii 4e*i�.
- -`PAYMENT DATE
09/11/92
TOTAL.. DUEt'=
PERMIT TYPE
MECHANICAL PRMT
FEE AMOUNT.'
'75,100
10:00
1 ,00
f r;.;g1;r• =
aiiii., PA'YML'-:V7SUNNARY'',:
RECEIPT • `'`PAYMENT- AMOUNT -
7629 36.00
.G0' TOTAL..36;.00
•
FEE AMOUNT AMOUNT, PAID AMOUNT, OWING
36.00 36,00
36.00 36', 00 , 00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY WENDE.L', -GLORIA
:=:wiiNle:riiaii****iri4i4iEifrfiF#iEi4iii@iPiFHiEi(ifif'r. THANK YCJII ***1(•
•
ii
*****;vdiiFiEiFirirk lh
517 r4 _R
E -Z LETTER
CARL CO, P 0' BOX 228, LISBON. OHIO 44432
• WRITE LETTERIN SPACE MARKED MESSAGE—'-* •�' ., FORM E-Z4U-
• REMOVE YELLOW COPY FOR YOUR FILE .:-
•
: • ,MAIL OTHER COPIES TO ADDRESSEE"_ j:i...T•
Spokane County ,bepartment'of Bui'Tdings
West 1303 Broadway -Avenue
Spokane, WA 99260. Bannera
RECE'VER ADDRESSEE)
•:WRITE YOUR REPLY INiSPAC"E MARKED PCPLY
• KEEP WHITE COPT FOR YOUR FILE _
..TO
• MAIL PINK COPY,TOSE N -
DER::_:,
11-05-92
SUDJ ECI
Permits
uel Inc
Please cancel the following'permits; 92007504,.:92005534, 92001935.
Request -this`company. be credited;for the permits.=.; :•
c.
SIGNED
DATE OF REPLY
'_w.utI,.>�r':.rsC,�'fia41�4'~".vi^,..:�`'ti�Y
•moo -•er
SPOKANE COUNTY. PAYMENT VOUCHER
VENDOR ' REFUN D
CODE
NAME BANNER FURNACE & FUEL OIL COMPANY, IN C.
ADDRESS P. O. BOX 4346
SPOKANE, WA 99202
NUMBER
DATE
132015
11/06/92
AGENCY
NAME CODE ENFORCEMENT
AUDITORS STAMP
AUDITOR
VOUCHER TYPES)
• 1099 REO'D ID#
ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL
LINE
VENDOR
FUND AGENCY ORGAN-
RATION
ACT OBJ
SUB
OBJ
REV
SOURCE
SUB
REV
JOB
NUMBER
REPT
CATEG
BS
ACCT
DESCRIPTION
AMOUNT
NO.
INVOICE NUMBER
1
92-007504
406
030
0008
2210
07
REFUND
28.80
2
92-005534
"
"
ii
29.60
3
92-001935
"
49.00
DETAIL DESCRIPTION
1
PERMIT #92-007504 FOR 1905 S MAMER RD
I, the undersigned do hereby
certify under penalty of perjury
TOTAL
107.40
28.80
PROJECT CANCELED $36.00 X 80% =
2 PERMIT #92-005534 FOR 3417 TARA DR
PROJECT CANCELED $37.00 X 80% = 29.60
PERMIT #93-001935 FOR 4023 S HELENA ST
CITY PERMIT ISSUED IN ERROR
$49.00 X 100% = 49.00
that sufficient funds have been
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered or labor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury
that this is a true and correct claim for
necessary expenses incurred by me and
that no payment has been received by me
on account thereof.
Spokane County or fund agency
SIGNED
TOTAL 107.40
indicated above, that I am autho-
TITLE
rized to authenticate and certify
to claim.
DATE
INTRA -GOVERNMENTAL VOUCHER
SELLERS ACCOUNT DISTRIBUTION
said
EXAMINED and ALLOWED
FUND
AGENCY\
0 AN'
RATION
SUB
ORG
ACTIVITY
REVENUE
SOURCE
�
SRC
JOB NUMBER RPT.
CATEG.
OFFRECE VIA@CES
ACC
`
DATE 19
CE�CATION
SIGNE.
CHAIRMAN
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
OFFICE ADMIN'STRATO'
TITLE
MEMBER
rendered or the labor performed as described herein or contracted TITLE
and that
11/9/92
tor, and that the claim is a just, due and unpaid obligation,
DATE
DATE
MEMBER
I am authorized to authenticate and certify to said claim.
AUDITOR