1987, 12-14 Permit: 87004200 Gas Line Air Test•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON'
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certd9 that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile sad 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 type of work will be complied with whether specified herein or not I understand that the issuance of this perm,t 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 IocaNaws regulating construction , ,
SIGNATUREOR OF a ga APLICATION a
OWNER OR AGENT A�C%� f , DATE /6 - / ( ^ F�
•
PRch.11ii:1::T 'rlUiCul:_R-- 700 ;i?00
*4* .h'.:l(. $(' d4:A..)e-)e.-)e * -/E df'rt"}F fk rrt. il(*****
DATE:::: 12/14/;2? , PAGE.: 091
ISSUED P'I:::F?0'0:1:1`
PERMIT 1NFORiiAr:C ON _n*)r*****a(atx3eae:are (
SITE. STREET= REE:T=: 79002 E NORA AVE PARCEL_;:= 07543-'71i
ADDRE rS:= SPOKANE WA 99212
PEF<ti):T LISiE::: AIR TEST ON EXISTING GAS LINE
•P'I...A1t= 002334 PLAT NA1IIE..: SANTA ROSA PARK .SUTit,.DLK:.5,6, 1
BLOCK= LOT :::: /ONE=— 1GSLJIif T):FS'(''ll:...: P::
AREA= 00010125 F'/A= I' IJ :I:1):T'Fi:: 1 .:7:`.i DEPTH= " R/W=
v
OF BLDI.,X=: t DWELLINGS==
•
OWNER= CAMPBELL, SCOTT :PHONE=:: 509 922 28 9
STREET= 7902 E NORA AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= RIJSS LLJNDE PHONE NUMBER= 509 ?'.5;5:'. `f 71 1
BUILDING sE:TBACKS : FRONT= ?da l0 i_EFT:=: 0000 RI.GI_ii 0000' REAR= 0000
ai.4*1,',*4O(a(..y..)(.)e**,(.:a)(.}i.:l(..}peF.tt..u.i(..N.0.}(.;,;)(:n:ae.a(. Mr:CalAN:I:C:AL.. PERMIT 4X44'*a(.a(.ah.)ae..)(..x...*As..)e.a;(at:14..}(..}(..};..x(..},;;,:41;.4}(4.},.
CONTRACTOR= BANNER FUEL COMPANY PHONE= 509 535 9
STREET= P.O. BOX 4346
ADDRESS= SPOKANE WA 99202
ITEM DESCRIPTION
QUANTITY • FEE AMOUNT
PROCESSING FEE ' Y . 15.00
GAS PIPING 1 .50
MINIMUM FEE AD.J1.J ' I MI::.f11 Y 4,50
• '
ir:•:..rva,;)iii)eiO(*)(3i*)4iu..3.)i..}(.�4)k F'A¥MI NT SUMMARY .)3*3)(3*3:rt)(:)F)P)E3':(#3*:r-,z.)f.):.) 3..)) ***
u..}e..;c..h..Ye. ii u: r: -' ...
PAYMENT
12/14/87
TOTAL DUE=
DATE
RECEIPT PAYMENT AMOUNT
50 70 20_00
'400 TOTAL O' A I D ::. 20400
PERMIT 11 YPE FEE AMOUNT AMOUNT .PAID AMOUNT OWING
MECHANICAL P R iMT 20400 20_00 .00
. 20,00 20.00' -,00
PROCESSED BY: i'iAS'CARDO, GODOLFIN
PRINTED BY : riASS•'CARDO, GOD(:L_F I:M
f
.)¢ di..}r. L; di .i dk .i .R..}, .}64. „ ),: )k §r k )F 9t iF) )( §k `.r ik d4 $ Pi )(..f. 3?
THANK. YOU )e.„..„
)
rk it it h.91? h)*X*ga.pi.n..}i).k..1 .j,.****4(***'
./L•ar---.
I I
IINSP
DA
PLBM
ECH
k
IISEarMi
C
EMI
I
03
0?
I
MI
M
,
E
'--
REbOC
111
ME
E-
.111110
z...I
MISC
PROJECT FINAL
EERIE
-
IIIE
E
E
1
1