1991, 08-15 Permit: 91004727 AC rlll�i
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
OWNER OR AGENT _ _ DATE
PROJECT NUMBER— 91004727 ISSUED PERMIT DATE= 08/15/9i 4
: j:.,j..Na : j.. j.:... j* j.: ..n* jKri {aPERMIT INFORMATION i nii: :: jj: Njf (* jj:* :.}j..* t = : 1:
SITE ::: t t'=:-..t.. , .... 1104 .•!'! DR24543-0413
ADDRESS—
,
!D D.i i'S e:. :' :::: ; %:.j•.,° :i ,e i i_..F WA 99037
PERMIT USE= AIR CONDITIONER
PLAT4= 002316 PLAI NAME= ROicHFORD ACRE TRACTS
BLOCK=}}l,.. .... 4 LOT= 13 ZONE= UR-3,5 D.t.::: l 4:::: }..
OWNER= JOHNSON,v, GAE". .'•i'i0 N E: 09 920 :2:399
STREET= 1104 ROTCHFORD ,DR
ADDRESS= VERADALE WA 99037
CONTACT n - ?. . } xM
L : + PHONE NUMBER= 5'::!r 920 2100
BUILDING } !.;f..tt !'• --: FRONT= h{•:: LEFT= i`•.A RIGHT= .... REAR= NA
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CONTRACTOR= A f',• 't QUALITY I N i.Y• } 509 928 .. • 4;0
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STREET= 12710 E INDIANA
ADDRESS=.... :,. O K'•,.l:.i l•:E i,.�f•:; 99216 AVE
.M DESCRIPTION QUANTITY AMOUNT
PROCESSING FEE :•.,..
,00
``•' I }•; CONDITIONER 0-3 TONE 1 :2 .00
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PAYMENT DATE E Ea. RE::.i.;E::.f.E` E :: PAYMENT AMOUN '
08/14/9i 5624 37 _`t;P!
00/15/91 37,00
AMOUNT PERMIT ! '( E.. FEE AMOUNT MOUS+) E l'`A :, IJ AMOUNT E I_ WING
MECHANICAL r00 37.00 ,00
37,00 37,00
is Rt•::•:,...:•,:",....:, BY :
: -: : . , GLORIA
PRINTED ; Y : v } NrE . :E ! : • =
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