1992, 01-21 Permit: 92000345 Mechanical Fixtures SPOKANE COUNTY 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION q
OWNER OR AGENT gget/ VA DATE V / .Z
PROJECT NUMBER= 92000345 ISSUED PERMIT DATE= 01 /21/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 16202 E RICH AVE PARCEL4= 01542--2710
ADDRESS= SPOKANE WA 99246
PERMIT USE= GAS FURNACE -- DUCTWORK -- PIPING
PLATO= 002848 PLAT NAME= WELLESLEY MANOR 2ND ADD
BLOCK= 3 LOT= 10 ZONE= UR-3.5 DIST4= H
AREA= F/A= F WIDTH= 95 DEPTH= 142 R/W=
4 OF BLDGS= 4 DWELLINGS= i WATER DIST =
OWNER= KLOCHE, MICHAEL PHONE= 509 928 3196
STREET= 16202 E RICH AVE
ADDRESS= SPOKANE WA 99246
CONTACT NAME= AL MAY PHONE NUMBER= 509 536 5053
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= EVERGREEN HEATING & COOLING PHONE= 509 536 5053
STREET= 6002 E ALKI AVE 4002
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
DUCTWORK SYSTEM i 10.00
GAS HTG EQUIP< 100,000>BTU i 12.00
GAS PIPING i 4 .00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /21 /92 404 48.00
TOTAL DUE= .00 TOTAL PAID= 48.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 48.00 48.00 .00
48.00 ---- 48.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
******************************** THANK YOU *********************************