1991, 09-17 Permit: 91005914 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF / - / APPLICATION
OWNER OR AGENT - ���--. . - DATE ��//f�
PROjECT NUMBER= 9-1005914 ISEUED PERMIT DATF= 69/17/9i PAGE= 01
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SITE STREET= 2612 S SULLIVAN D 7A':;44—&n:;26
..: t J t+:1" .... V h•t•.,•.. t, f••?L.,p. WA 99037
PERMIT USE= .N:: i :iI...L WATER HEATER:. BOILER & GAS I P .?.fat,
PLATO= 002748 PLAT NAME— VERA
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AREA= i.. ,: A:::: WIDTH= DEPTH=!':= #•e;!tri::::
't OF is? t!G:.y:::: 1 it: DWELLING,:;_.. 2 WATER L;-R t, t. VERA
OWNtK— ML ,
VAN RD
ADDRESS= Vr^,^.,. :., C ?,4 , 99037
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CONTACT NAME= :.>,,., t SMITH�•? �tt.. ( {"!#::-t..... CO, PHONE NUMBER= :..!;,j°;% 448 9920
BUILDING SETBACKE : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= t " ; ? BROTHERS r ^4 ^: 6yPHONE= 509 443 ...:'{.:`;
STREET= 410 W PARADIEE RD
ADDRESS= 'jPO1`,AN#_. l:,tA 99204
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESEING FEE 2:7:',00
i,rf? WATER HEATER i:«R 10„00
,.;,..,..t.; t G 101 -500M 1;. # I .i20,00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/17/91 6518 57,00
TOTAL DUE= „00 TOTAL PAID= 57,00
PERMIT; # f=.,.. FEE AMOUNT AMOUNT
MECHANICAL PRMT 57,00 57,00 . 00
57,00 57,00 ,00
PROCESSED : JOHN LARSON
PRINTED BY : .....•r'.`'i;
J .,Rh : :! s $ :P :: :? ? *ar ;: ;a : ; : ;: Paa } THANK '(fl L **KK************* ***********