1992, 10-28 Permit: 92009446 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1wp'3 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 -----/ - APP KATION /v _2 d y
OWNER OR AGENT
P
PRO T Nt_1!"I Al ER= 92009446 ISSUED PERMIT DATE= 10/28/92 PAGE= 01
t+:3?'}+:it 7?•i?•)t•N-14'lk)t*•7?-j!'K•k•t?'1?•9?'9?':k*!i••2+:??•i?•)!':r. !•'E!":!"!s ! INFORMATION F•9t?t 14•!k aF 3t h§t 9t•*9h)t Jt 3k R')t it 3t•!!•ik*4k 9C Nh 4t 9k:n•
SITE E tiT REE:.T:a 15910 1::. RICH AVE:. i"'AI'?`.!. l: 1_.v: :: 45012.280
ADDRE :t= SE�OK ANE WA 9921 6
1
PERMIT USE= GAS WATER HEATER, FURNACE, h i-' .F :N
"_A" s . 0028
,8PLAT NAME=
tiME: xl _, : ?LEiMANOR 2ND ADD
D
BLOCK=
4 LOT= 1 ZONE= UR-3.5 DIST::_:: I..(
AREA=
l En }.i( ' )'v ' ; ` : " WIDTH= 131 t
iP i E : 122 "/l = " (
e OFxi � 7s_ 1 : DWELLINGS= S WATER DIST .
fOWii`JEk:::: BRINK , DALE !"'HONE=
STREET= 15910 i::: RICH AVE
AI:DRESS= SPOKANE WA 99216
: uiAiT NAME=
A"I : MARTIN
riTI4 Sr »ETMETAL PHONE
NUMBER=ER:
509 924 8088
BUILDING SETBACKS : _� < �i. +( LEFT= NA R: ,- i : Na ; =: - : NA
s+: +:N:*'Ji'•P:•h:9+:1R********N:*3i•*A:i+:9+.•*'* *•A•P:3+.• MECHANICAL FE R!`I I T f\*i?-??•*1l••P:9i*'R*'N:Yt*)+:*It i+:*'**'* k** ,
14 .�k INCHONE= .+.:t7 9 4 8'l 8
CONTRACTOR=i:?i7;:::: i"ir��E;: 1: `� SHEET METALMETAL... _C
STREET=STREET= 3808'i8 N SULLIVAN RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
•
PROCESSING FEE ,{: 25.00
GAS WATER HEATER i 10.00
GAS HTG r {;i}:r#:.a.1ejo , 4)00 j:tti? , 15.C'0
GAS PIPING x_ 2.00
*ne e nxr ix **a 4 33kk rii* G i N1 e i n33 ** PAYMENT S» MAEs
*a* ii'**ai* i {'*** c Ni* :n i
PAYMENT rf »
i":E C E.t.i''T O PAYMENT AMOUNT
10/28/92 9554 52 .00
------------
OT U 00 TOTAL PAID::- 52:.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL t"RM.T. 52,00 52:.00 .00
52.00 52.00 .00
PROCESSED BY : .-?Ui....!.E :S"iA j TI:t
PRINTED TT.•.
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