1992, 06-11 Permit: 92004266 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
OWNER OR AGENT DATE
PROJECT BER_ 92004266 1tStCIPERMIT DATE : 06/11 /92 :PAGE=: � 01
*}ciE*i{hisit3i••r.•i{ •it3i•ait)r*it*••ir#9{•i!•3{•**){• PERMIT INFORMATION it*ii•**ititYruit***#* W*i{itit**•r**•r:•!'
SITE STREET= 10409 F::: SPRINGFIELD AVE:: PA1.0 r:I...m=:: 45174.0414
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS WATER HEATER, HEATING EQUIPMENT, & PIPING;
PL..ATO:::: 000400 PLAT NAME= CLACK ' S ADD.
BLOCK= 1 LOT= 14 ZONE= Ai.;SI.)I:s Dl:ST;:_::
Al,;17..A= I /A= r WIDTH= DEPTH= I::,° W=
OF BL..OGS== 1 0 DWELLINGS= `i WATER DIST =
OWNER= POTTER, T:FM PHONE:-
STREET=T== 040 9 E: SPRINGFIELD AVE
ADDRESS= SPOKANE WA 99206 t c
CONTACT NAME= K T i I OF SPOKANE PHONE NUMBER=R= r)t;Y j .. .,••;' 4000
BUILDING SETBACKS : FRONT:::: N/A LEFT=:: N/A RIGHT N/A REAR= N/A
} PN*ik*! At#* C fk l M {RR b {*$ {ih*a hi i EiFErI ca LPERMIT k i A#hkhrii 3iRu) :nri ri i t*A i ;
CONTRACTOR= K T U OF SPOKANE F'HONE=:: 509 .4A7 4000
STREET= .838 E" WE::S T a`I F::U AVE:
ADDRESS=: SPOKANE WA 99218
ITE'ri DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING; FEE:: `i 2`'..:00
GAS WATER HEATER 1 10,00
GAS HTit E:=UI P; i 00 oo{.i;riTi.► i 12.00
GAS PIPING
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PAYMENTriMA: .
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PAYMENT O"T_ t EC EF = TO PAYMENT AM-Eu.
06/11 /92 4.33 49.00
TOTAL DUE= .00 TOTAL PAID::= 49.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL. PRMT 49.00 49.00 .00
49.00 49.00 .00
PROCESSED BY : DOMI T ROti ICH, ROBIN
PRINTED BY : DOMITROVIc::H, ROBIN
• • •**x**at**k*.A******•x••x*a:*x****** THANK Y O t,l N•A•*ii 74•. `R•ib*J¢P:•ii•8{•i4 3E$:••il•d{••a:*$.••ii•i{1{$.•h R P.•lk il•j{S i{•