1990, 08-22 Permit: 90004116 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(5091456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or myagent 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. 1 understand that the issuance • this permit/application and any s sequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the pro isio sof any state or local law regulati •construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction. 8 �ZZ ( Q
SIGNATURE OF / / �� APPLICATION
OWNER OR AGENT DATE
PROJECT j'•ii.lI' 1FER= 90004116
DATE= 0A/22/90 PAGE= 01
ISSUED t i:";: MI,.T.
4!' 9?' :C 9V 4k Yt 9t' 74' 9, t4 * Tt' Pi ii' k: ii 'it• •ri 9i' 9t :'C :;•* Yi ??' iY Pk 9? PERMIT
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ITF S? I'•,EE. W -- 115 N riCI)ONAi._D RD h'F'tR:).. I.. r= 15543-4102
ADDRESS= `PiN:u y 992-16
PERMIT USE= l,:,A. FURNACE, WATER HEATER, DRYER (3). .,-`.t Ni,
PLAT4= 000748 PLAT NAME:::. EVAN. ADD
BLOCK= LOT= ZONE= AGEUB .i) 1 ., e .,,. _.. ..
1 th5E(:it::. F/A= h WIDTH= H::. 1 !•)t. DEPTH= i ' 1' _ -•
OWNER= HERMAN, , fI(1WARD
—STREET= 115 N €'1f;I,i. t,JAI .D RD
ADDRE ' SPOKANE WA 99216
r`;:•',9:i
CONTACT NAME= HOWARD
,rRIHERMAN
.Cn y .•1a- °rrr:502 97f;
s?i(
BUILDING :tttt,E: FRONT= NA 1 i..I=:F"T== NA RIGHT= NA REAR= NA
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CONTRACTOR=
_Jr4a,vL<_W,ER
PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
r''F( iC SL1 aG FEE y 2t5.,00
6 I"tS WATr. z HEATER 'i f•i i'7!i
(:',IIS HT(:: EQUIPIA00,000YRTU
GAS PIPING 7;f-6(.4
CLOTHES DRYER 10.00
�!•
A.. �!•
ik ii• •iG ii• x' ii N:• i!• N• rr �• 3!• )t �r i!• is or it x• u A: _ ;;.
PAYMENT i' T I:iATE
02/22/90
TOTAL DUE=
PERMIT TYPE
MECHANICAL i F i
BY: WEND i
BY. WEL
i
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I PAYMENTAMOUNTr(r:�c:E::z �'T
4910 60.00
.00 -?I "`IPAID= 60.00
FEF AMOUNT AMOUNT N PAID AMOUNT OWING
60.00 .4 .).!: 0 ,00
60.00 60,00 _00
GLORIA
GLORIA
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