1989, 11-20 Permit: 89004824 Furnace, PipingSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit Is true and correct. 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 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
OWNER OR AGENT HATE
APPLICATION
DATF= 11/0/R9 PAGE= 01
ADDRESS= SPOKANE i::. i1.i(`! 99206
PERMIT UEE= INSTALL GAE FURNACE AND PIPING
PLAT A ! i':i(-tMi::.= ,:: i•i E f ;; b; t "l 1. D FOREST (WHISPERING i.' .!.
BLOCK= LOT= 24 ZONE= s +" Y'' DISTO= F
OF { ,1 ....: ,,. M/MJ INGE=
OWNER= BRANTLEY, , R:i.C't•i("tit`l::j
ETREET= 1107 :' P't f't i'{ .i. A M RD
ADDRESS= , ' P f: i ..A N E WA 99206
PHONE= 6)09 922 4093
CONTACT t`.(t!'li::.:::: ,}1`'#.f. f•i..i HEATING PHONE lNi' ,3Lii",1,E1.,':::: 509 ,.?.::A 4431
I
BUILDING :. i::. I . (f K , FRONT= (. LEFT= NA RIGHT= NA REAR= ;I (:;#
,p.........................................)'i '1fi * 1'i ;+: •A: * :ii: MECHANICAL ` iI _ y: ir a ! itnC P. nnhi:i * :
CONTRACTOR= WA•Y•NE ,b!"tI TH HEATING
INi.:;
r' :::
,.'..l i:i:�i::: r 102 1::: NOl:1Fi, AVE
ADDREES= gPOKANE WA 99207
ITEM DEECRIPTION QUANTITY
PROoEggING FEE
G A ,.r t ! i t,r t::. t:,' TI P ''. a •.. •.: , ?::' SCJ ?;1 B } I
GAg PIPING
PHONE= 509 322 4431
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PAYMENT DATE
PERMIT TYPE
............................................................
MECHANICAL PRMT
R {.:E3NI:4: PAYMENT AMOUNT
ILL AmuuW
....................................................
32,00
....................................................
}"i'$.!. Vii::::
AMOUNT PAID A ;"i l'•'1 :1 ..'. ;..t 1;. .i 3`:31 -:
•
,00
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