1992, 12-18 Permit: 92011067 Insert, PipingSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
. 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 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 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
PR Ci,.iii:(":'i NUi=1IN:'R - it'2 11067 ISSUED PERMIT
A re,ei
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DATE:.:. /18/92 {=r..,t,i::=: (i
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@ )i )i **********ii****
E MCD(: ALD RD PARCEL:;;:::_
LDDRE":SS=: s jKAi'ti6: WA 992.16
HT USE= GAS INSERT A F IPIN!::;
PI. AT:;::=: i; ;; '.`_`9 PLAT NAM.I:I_.i. 1 kF:: S'T ACRES F::S 4'1'i -I r. til: r"'•f4i':'rdi){:i'
BLOCK= 'OT=i ZONE., SFR DISTIL
R E A = : F LW.I:1)1Fp::: DI:i:F°T1i:::
OE kti...li(:,5= 4 IDWir.i._L...Ei@C;r;:::. 1 WJAIER. DI:Si' :::
OWNER= MANSFIELD, FRED
STREET= 2708 S i LT,01,'ll...lD rri0
ADDRESS= SPOKANE WA 9921.
PHONE
S '.i'
F'I'IC:INlii: - 509 926
' NAME= i._r=,'MITE PRODUCTS PHONE:
•' F 1 -- , ,
1., SETBACK FRONT= N/A !._!::.== N/A RIGHT= N/A REAP= iv1F
JP 31; 'it A. Hsi 3i P: ii. y: 3t A rticti' A m 31' 11'31' R it*
CONTRACTOR= L r;' i T 1'I: PF't CIC'U("
S't'ic'E::E::T:-:ETRFi:N T A
ADDRESS= :'i~[iii ANE WA 992
ITEM DESCRIPTION
F''ROCF.:: "1. )i.. FEE
GAS Plr
GAS LOG
MECHANICAL PERMIT n. )i' It )t' X g )i 3tii.
QUANTITY
I"'
0,33!5
RHONE,. 509 536 8361
FEE AMOUNT
i 6)rj
10
:. 00
Ft
.. .... .. x..y:*** .... ...
3i�.g•ji�3i�3i,P)i,53e �m �N: 311:91: di��n. 3t rJ ar'u 3•i ri''ii'3e'm �re it'PAYMENT .J .I!"i1"i r,I:T n: 9Vdi:ii'3;.3i:y..�..�:+:f.k******** dr di'it
PAYMENT DATE
12/10/92
TOTAL l it.UE=
RECEIPTi PAYMENT AMOUNT
1383
.00 TOTAL PATD= - f)
PERMIT 'TYPE FEE AMOUNT AMOUNT PAID
,EC F-tli 1cFLRiT )".0.
i:
36,00 00
t Y : DOM] ' R'O'VTCFi • ROBIN
L''F{7:r,'TF::' BY: tioi-ti: TEi.`OvI:CH, ROBIN
"" '. A> it Axnni.i., t 3r-Pi)l)i'k)i3h-0i' P) -X P33t3t
9t'll'P)i,.s:li. ji... �: ".: '.: .: ,..(.i .i =t i. .. ***a .. .. .. ... .. ... _.. .. .
THANK YOU :t3i��ii�3f 3i'ii;P: 3i�ii�a�9•Ltn it mik Si�3i��it ii�ni it ,i�tt n�i.xredt
AMOUNT OWING
,00
i)t,