1991, 11-27 Permit: 91008260 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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. 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
t'`..}.....E... . NUMBER= 9100'8260
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SITE ST ET=
PERMIT USE=
BLOCK=
is;i=
OF BLDG,]::::
STREET=
:: I T NA
ANE WA 9921z
HEATING -EQUIPMENT ... PIPING
CONVRT
000.15000
PLAT NAME=
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FARCEL4= 07542-1110
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TH= DEPTH=
WATER DIET =
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• STREET= r. jj
ITEM DESCRIPTION ..;.,,.F'»i....,
.E
i.:r F"{,, '•? 7 it' 't. t..''<100,00 0 .>.�� ? ..t
PHONE=
.
PHONE
•�:., MBER
REAR=
509 489 1170
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QUANTITY
PHONE= 509 489 1170
F E E AMOUNT
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PAYMENT DATE
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TOTAL ):'i.!s:::::::
•PERMIT TYPE
MECHANICAL' . F', i`'j .T.
PRINTED BY • DisM:??.Ti I")''?_.
FEE AMOUNT
............................................
38,00
38,00
TOTAL PAID=
AMOUNT
PAID AMOUNT
OWING
38„00 ,00
PAYMENT AMOUNT
'38,00
+'1
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