1987, 10-07 Permit: 87003380 Gas Piping1
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 ty of work will be complied with whether specified herein or not. I understand that the issuance of this permit and any subsequent inspection
approvals or Certificates ccupa cy shall not be construed to give -uth• ity to violate or Cancel the provisions of any state or local law regulating construction, or as a
warranty of conforman with the p visions of any s to or local law / e• r ating construction.
SIGNATURE OF -��,.� DATEICATION
OWNER OR AGEN �1�/fir
PROJECT NUMBER:::: 87003380
c i ** i a::nii:t:
t., INFORMATION
NFOR'TLON 4 ,t, {}** }: * * } * * t ; j _ }} , i.yp* h
7 .;
SITESTREET= 'rrii;7.•. E MISSION AVE P?til'!:i.,l::.i...:n .. 07553-1751
ADDRESS= GRE.ENJ.fit(:.RE:S WA 990-16
I'iEI't%'`l.I.'f USE= GAS PIPING
PLATO= 1...:;PLAT
rT IAM:: PLAT 1_WEST FARMS IRRIGATE
BLOCK= LOT= ZONE= i..tGI' .I. DISTO= .ii..... G
AREA= 1'.} f i f:} :i :i t i i:i '4 1=• ,' }::j = I:'i WIDTH= DEPTH= F:: ,'' (,J :::: 30
i:}
4 OF 7:.tl...t:'r:rE= :II: DWELLINGS=
OWNER= GARVIN, SAM F
STREET= irt:;r?,... I::: MISSION i't V i::.
ADDRESS= i`.:f R I::: I::: N i'a ::: Ei i:::." WA 990.16
PHONE= 509 926 3016
CONTACT `r'E:> i ' " i r:r c fPHONE `(7:ER:509 926 `016
BUILDING " E:: wi• t { i:t C:1<' : FRONT= LEFT= RIGHT= Ri::.A _'=
* 1{• .}i. 7{- * it 1{- •}L 3i: •i{..?r * :t{.:/{- •i{ Sk It J{• i{• lE )t:* !f• * •h; •}i- }E P: * Jk * m I::. { , H A N .1. i.: A I.- I•'` u m .1. I . •}I:.,E * .it. _,{. l:::ir :14 * •},:: • :H- -}t it * •}I: r:** i{• -}': 1; * :x: 9l
CONTRACTOR= OWNER PHONE=
:[1E:1 DESCRIPTION
PROCESSING FEE
GAS PIPING
MINIMUM FEE ADJUSTMENT
QUANTITY FEE r'tMO(.Ji'•.-I.
.i:
15,00
.50
1
0
.�... .... C'i iia M s 'Y : ` . .. .. 1 II II " t
b• i': •}i• •}r.• :It: �:- •h: 3t- �il::ji• •i6 -u• •}i a,; N •'r�: fit• •�: •i�; •it::iE -}{- }�; -}�; •�• .i .,,; .}� i,: ;1,..p; I� ` to ; t'I i::. t`I • f :: - !. � 111 t t••t i , ,i rt{- -i@ •}�i �i..p} .i,; ..,, .}{.:1{• i�l: r•! i�::}�: -u:• •;c •t{ -i{..a{. •}: rt{...-..,,..n..ir -.: -1a
PAYMENT DATE RE: CE:::1:1::,T.I,, PAYMENT AMOUNT
10/07/87 4110 20,00
................................................
TOTAL DiU. 00 TOTAL PAID= 20,00
PERMIT !zIE:EE AMOUNT i° , T PAIDAMOUNT OWl,
MECHANICAL 1••'I'!.N I• 20.00 20,00 0 :. !)0
20,00 20,00 ,' 0
PROCESSED BY: Irl1:_i4JDf:::1... , GLORIA
PRINTED i E : i` T:} I.:: L..: GLORIA
a- ,f -M: =n::Ii. ,:.ii * .y; .i{..;i..p: * il:) .}t * _,{. * * *:;{. * _},:• :at• •* 31: •tt p: * •}i 3i: THANK `t i_} U •i{ :ri. * * * * •},::u: * -}( A: •}f -i{..j,:.}{. { * }t }{• .* p: }L :..}{..1{• :u:* * * •}{...ii..}¢