1991, 10-22 Permit: 91007078 Furnace, PipingSPOKANE COUN(DEPARTMENT OF BUILDINGS
VC. 13 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 construe
SIGNATURE OF _ - n t4 (I _&L> APPLICATION IQ I .�.} lC`l
OWNER OR AGENT CCM -4 ' /l l/'t%� DATE ` L
PROJECT NUMBER= 91007078
ISSUED PERMIT DATE= 10/22/91 PAGE= 05
**************************** PERMIT INFORMATION ****************
***********
SITE STREET= 7656 E MAXWELL AVE PARCEL:= 18542-0434
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE & PIPING
PLATT= 001939 PLAT NAME= PARK ROAD IST ADD
BLOCK= I LOT= ZONE= UR 3.5 DIST4= E
AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 112 R/W=
4 OF BLDGS= I 4 DWELLINGS= I WATER DIST =
OWNER= ANDERSON DAVID M PHONE= 509 928 3526
STREET= 7616 E MAXWELL AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAVID ANDERSON PHONE NUMBER= 509 928 3526
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
PROCESSING FEE
GAS HTG EQUIP+100,000 BTU
GAS PIPING
QUANTITY FEE AMOUNT
Y 25.00
1 15.00
5 1.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/22/91 7870 41.00
TOTAL DUE= .00 TOTAL PAID= 41.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 45.00
41.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
41.00 .00
41.00 .00
******************************** THANK YOU *********************************