1992, 10-26 Permit: 92009276 Water Heater, Piping SPOKAI` OUNTY 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER== -:3:?.a092t7 6 ISSUED PERMIT DATE= i0/26/92 PAGE=
K)ii**'H•....'P:)1•.....*.y{•..i,:'Ni..*.){NiNi***)i' PER !I • INFORMATION nphiG) i } i ii; hk t A*N ) ui) x A t
# E
SITE STREET= i 4tt . RICH
• =H 1 V E r `R» r E4: 45022.2109
ADDRESS: SPOKANE
WA 9921 6
PERMIT USE= GAS WATER HEATER & PIPING
h;• M1 T A.= 999999 PLAT .`i w, .. RANGE
BLOCK= LOT= ZONE= SFR its I S O
AREA= 00000000 (•/A= F WIDTH= DEPTH= f./U-:
:: OF BLDGS= i 0 DWELLINGS= i WATER DIST ::-
OWNER= PACAL, TAG I TA PHONE= 509 927 9693
STREET= 14420 E RICH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= STURM HEATING PHONE r 1MBER= 509 325 4505
BUILDING SETBACKS : FRONT=T:::: N/A L.E.FT:::: N/A RIGHT= N/A REAR:-: N/A
i i () ht) M*na) i ) *) ti **h**h*x n t* i aMECHANICAL PERMIT *)i•*7t)i•it•a n•)i h•*)t•k)e r:h:)¢n:**ai .,5•i:;
CONTRACTOR= STUM HEATING P : : 5: 9 325
450::::
STREET= 204 E INDIANA AVE
ADDRESS=:::: SPOKANE WA 99207
ITEM I :iIFf1OnQUANTITY =EE AMOUNT
PROCESSING
t'EE:. 25e00
t.v A,'r WATER I"Et'.r•)T1::.R 't 10.00
GAS PIPING
:`t'Ft•tk 9t at 3t•)k 9t i!•9t P:it)?'9h ii• )t 9t H-*R•)r N-)k •Y)t-)?• •** PAYMENT , U ri r i r•1 R tl' 1!•9t Ft tt 9t Jt*9f••it•)k)t•**}!•}t)S•)!•it•R R•it•JE Jt 7k*9!•*•A:
PAYMENT DATE E RE:.i.:E IF'`i 4 PAYMENT.iN^i AMOUNT T
10/26/92 9451 }.. .. ..
TOTAL. DUE::- :.00 TOTAL PA.LD::: 36.00
PFPMI;. TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL N...E PRMT 36.00 36.00 n00
36.00 36.00 .00
PROCESSED SED i'y : DOMI•E i;c:iv.LC:H, ROBINPRINTED _iY : oc:t"iITRiOVICH, ROBIN
)}:)t•K*)4 r:u:)t•*•ii***)t:u:*ki fi:•ii)t•)1.•i(•iii)ii*.k.*)i:*•hi** THANK y E i u •ick•*P:)e h:):•..*)i•)t')¢*)t•)l.*. .... )l•)(•P:•R•...ii•)1•.u•:ft.•:4*
MINIMMUft
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�" ° �SPOKANE COUNTY.DEPARTMENT OF BUILDINGS
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Y .4: k " W 1303 BROADWAY AVENUE
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t,ln ,�� y;�.:�gpOKANE,WASHINGTON 99260
�* `' (509)456-3675'
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:rniit/appilcatlon stetsthdthe inl0Mtationcontainedinitand submitted bymeormyagent tocompile said permit/application lstrue
ne:County to proceed With proCessmg•-In addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE
gree to comply with same,All provlalons of laws and ordinances governing this type of work will be complied with whether specified
e issuance of this permit/application and any subsequent Inspection approvals or Certificates of Occupancy shall not be construed to
1 0 the provisions of any state or local law regulating construction,oras a warranty of conformance with the provis"ens of any state or local
_2 G _ 1r k Yat - "-- APPLICATION `��`\,N.
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- PROJECT-. k UMBER 92009276 -,-..:.;- -. ISSUED F - I j.7 •. PAGE=
h t*ii**�t**i *********** c�a **x* PEFMIT INFORMATION *: :...:...:..... :. . .. •-: *• * .. ,. ; . *
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ewe 7TH r : , I`�eiF; L..�..• •• i�.�r;�..:.. ..r^i 1''�
; l:. WXtE":STREET144.4 0 F RICH: AVE
r vs'. � _1, 4 ADDRESS= SF OKANC;.'WA 992 1 .- •
PERMIT '�USE GAS WATER HEATER & PIPING
F'i AT:•= PLAT LA T r`!l:it'ii—• RANGE
BLOCK=• LOTS. ZONE w ;-4::i. D t ! .- 1-I
AREA=' 00000000 F'/A= F WIDTH= •'f,.-r ! 'I= i _:
Li
-OF• DLDGS= . . i ,1• DWELLINGS= i bWATE1•: l:;i Si :-
OWNER= PACAL, TAGITA F'HON l_:_: 509 927 9693
STREET=, 'i 4420 E RICH AVE
:ADDRESS=•. SPOKANE WA 99216 •
CONTACT NAME= STURM HEATING PHONE F NUMBE == 509 325 4505
5
r BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT N/A REAR= N/A
******4********** ************* rEC1 I( H _ PERMIT ** *n xx* t*K1 +AlR**** ** q o;r:
•
y CONTRACTOR= STURM HEATING PHONE- 57r =: -
4505
STREET= 204 E INDIANA AVE
ADDRESS= SPOKANE WA 99207
;' ITEM DESCRIPTION QUANTITY FEE: AMOUNT"
PROCESSING FEE Y
A GAS WATER HEATER i ; i- , ,,..;;_;
G r-',v PT E•'T.NC; '1 ' .
j: *t*t *t*•.'P:;1,;:J,;i,:MF*t* !(•T.'?i*t!t'7i:!4R'iii'****h-.Kit**:* i A7HE NI ::UI-1-ii-1Cti. i 9t: :'CT:*•.+'. +. ..?•9q.M.'Y.P.A9-.. !'.'P.-. P.'.'.*':7 .. ''.
P A Y 1`i,... j i DATE (I".L I_.F:.1.i' .x. -.
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EPS PAYMENT DOCUMENT
Pv# SPOKANE COUNTY AUDITOR Change Order#
Dept C
Bid ID
VENDOR: SHIP TO: BILL TO: Blanket#
riEATING INC.
204 EAST INDIANA AVENUF
RC# ^P^^CSG^C?GGI
SPOKANE, WA 392L7
vI#
Vendor Contact/Tel Confirming Order
FOB: PO DATE: BLDG/ROOM: BUYER
ACCTG.PERIOD: DELIVERY DATE: WAREHOUSE:
COMMENTS ENTERED BY• PURCHASING DIRECTOR
COMM LN#—I DESCRIPTION
COMMODITY NO REF ACCT LINE QUANTITY I UNIT UNIT PRICE I TOTAL PRICE
14420 EAST RICH AVENUE
PROJECT CANCELED 0.00000C
80% X $36.00 = $28.80
i
PAGE TOTAL:
LINE NO, FUND AGCY ORG SB ORG ACT OBI SB OBI I REV SRC SB REV I RPT CAT BS ACCT JOB NO. PAY THIS AMOUNT P/F
GRAND TOTAL:
RECEIVING CERTIFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION
Materials noted in quantity J have been I,the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim,the I hereby certify under penalty of perjury that this
received in good condition or contracted for. materials have been furnished,services rendered or labor performed as described herein or contracted for,that the claim is is a true and correct claim for necessary expenses
a just,due and unpaid obligation against Spokane County or fund agency indicated above,that I am authorized to authenticate incurred by me and that no payment has been received
SIGNED and certify to said claim. ----- by me on account thereof:
TITLE SIGNED TITLE SIGNED TITLE 1
DATE DATE 1 .. DATE PAGE
DEPARTMENT 2