1990, 10-02 Permit: 90005043 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90005043
'ISSUED MIT
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SITEE STREET= i :.i':) sr #. MISSION AVE ' f4 R... _:. t...:: '# 3531-0205
. ADDRESS- <ANE WA '9212
PERMIT
,,:•,E INSTALL GAS PIPING :"• HEATING ING E UI •S ZT
-ji p _ 001938 P#,T NAME=
1M1-P.iK ROAD ('a ?} f i .
BLOCK- 2 LOT= ZONE= (�! f:Y ,�:. %"i ?:S ?, } ," ,�4 w. _.. .. .. .
AREA= t.:i+}t;?+::!e:!�-fi;iti• DWELLINGS= (�`,%f.:i:::: j.. '�+?.�. [i •j i••i•�:: %il���t'`Ti"�::::
OWNER:— !ROBERT PHONE- +::�,.t ::i .... �Y 1399
ivi r=i i'�`'rt t :' ,
f1t?;%�'
ADDRESS= SPOKANE WA 99212
-CONTACT #`•?Ai'1k:.-.. SEARS/BARTON PHONE NUmBER= l::r+,:jt:'` '}f`-si 1170
BUT' #... DING ,:;i::. s a:ff=iCI ;: ': FRONT= NA LEFT= NA #
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CONTRACTOR- T#'{'.ACTOR:::: y'Ef':;R;�
6/07
WA 99220
PHONE= 509 .489 1170
QUANTITY FEE:. AMOUNT
PROCESSING FEE
G!••! ,:: Hi. t.. �'_ ta i.? .!. #- � # ,: :: e 4: is L;i � ,.
1,00
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PAYMENT DA { E t'4 k:. !.: !.:..,. P (' : ,. PAYMENT AMOUNT
10/02/90 6035 38,00
................................................
TOTAL
DU..1F:::. ,00
TOTAL PAID- 38,00
PERMIT TYPE I" .'. #::. AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL 1' ` F M _{ 38,00 .. 8,'; i0 .. C.:)6
311.:00 .'}i,ij 0J
JOHN LARSON
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