1991, 08-15 Permit: 91004754 MechanicalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit/application, state that the inf6rmation 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
. _:?: NUMBER- :,A754 ISSUED ? "D 'ERrI! DATE= 08/15/91 : a r ? j
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PERMIT INFORMATION
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SITE STREET= v 1407 ? `? SARGENT ?" i t � . " F^! ?': t..: ?::. ?....,t..... %541-050,'D
ADDRE
S= SPOKANE WA 99212
PERMIT USE= GAS FURNACE
PLATO= 001628 PLAT E''%"'!!'??1::. _•. '?.l. ..:.? i. !.. ?._? i PARK ! !
BLOCK- i
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OWNER= THOMPSON, HARRY PHONEr----
SARGENT
ADDRESS= SPOKANE WA 99212
CONTACT 1='?:E
1 MERTENS PHONE NUMBER= :>':?`"? 928 2100
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MECHANICAL t •Y ±... ?::. _: i..? t �Y !'-! .!.
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CONTRACTOR= A r,; i"i ?, ? : f•1 ?... % •? `t' j••? i � i,-, & �; i .. �::. i..- .,. , �: t.:PHONE= 509 ....... ._' ?
00
STREET= 1200
INDIANA AVE
ADDRESS= SPOKANE WA 9906
ITEM DESCRIPTION QUANTITY
FEE fit'?'s..l..:Nt
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PAYMENT SUMMARY 'jti •j!: '!yi 'Pi '?!r •Ai ini cnr 9t •jt' '1y: ?ti �7?• ?!r i+C• i+4 iii :i4 Pr i i •j!i •iyr .P...tk i++i iur :jyi •Pi
PAYMENT k } - .. ,.: f... .. p: : ,8. PAYMENT AMOUNT
0805/0 5 6 37.00
0805/0 5659 37.00
TOTAL DU?.:= .00 TOTAL ?'•A .;_1:::: 37.0L.-*)
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
..,.'• AN t, p: .,M* „ 0,C) 141 ! 101
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