1991, 11-25 Permit: 91008191 Gas Log, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY Ari=NUE -
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
PROJECT JEl: w NUMBEt" :::: 91008191
ISSUED 7 DATE= 11/25/91 i:'Ar; :: - ('r 1
*****:*****************K*** pF.RmiT i N F f R. M ± ' :r o N ********ii.*****************
SITE STREET= 7 <:r':17 C: MONTGOMERY RD 1 "' :•? ±':.: E L.. ,r _.. 12531-6256
ADDRESS= SPOKANE WA 99212
PERMIT USE= GAS t... t.! .r & PIPING
PLATO= 003001 F'L..(T NAME::::: 1; T ADD TO EDGER•i ON
BLOCK= 19 LOT= ZONE= fAa )-v 1)1 s ..r. T_ ,_ E-
AREA= 1.. / A :::: t• WIDTH=. i 0 DEPTH= 100 e
OWNl' Fig::JOHNSON, TERRY
..r
S"r E E:..T.:... 7407
F::: MONTGOMERY F{);
±1I?I?I'tiE ti y'=r i ii ( NI::. IAlf i 99212
PHONE= 509 926 9 530
CONTACTNAME=
yA "-- NATIONAL
-";CVFICjT-N(Y SERVICE :H[*tNUMBER= 579 z
` 2000
;._ttrtitiS: FRONT=N/A LEFT=
N/A "~::Li:..j••I'r:::: N/A REAR= N/A
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CONTRACTOR= N..'T:i:illNAI_. CHIMNEY SERVICE
STREET= T= 27 i! BOONE E:: AVE
ADDRESS=SPOKANE WA 99201
1
HONE= 509 326 7358
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
•
PROCESSING FEE 25.00
GAS PIPING 1,00
GAS i i._OG 1 10.00
*****K********************* � :::v F- .< ::: , .
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PAYMENT DATE r+:ECS I. C,.": PAYMENT AMOUNT
11/25/91 9020 36.00
TOTAL `•`'UE:::: .00 TOTAL PAID:::: 36,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL t..±•..i'! i 36.00 36.00 .00
36.00 36.00 .00
PROCESSED ED !:iT": DOM.: i t} •Icij ROBIN
PRINTED BY: Ti(„!i'3v i:,iOy i.I i, ROBIN
.,,, *:u: -ia -x- -h: v(- •it- * n: *.�,..n• Hi ie is x. u: ;r ;Y: ;,: -ie n: W* * it it u• 1i• ii• •i{• THANK Y t.1 ..! :,;..ii.:;i..M .,,i :1,; i,.* -n: ii. ;,i..i{• iii i4 -n: 1: * -'a.- * i(- ;'i- •r: -ii- * * ii it•vr * it * iE ,;