1991, 10-14 Permit: 91006795 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 13%3 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
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SITE I::. ! REE" :: 4223 '• t„#NDERt...Aj\ i,1 RD :''{..F?'•.t.,t::.L. i: 32545-0204
ADDRESS= ,`r l'Oe':AN!::... •3!#...99206
PERMIT USE= c;A:`:. FURNACE, WATER ER HEA # ER. • LOG, ... PIPING
PLATO= ;t/; 151 A .
NAME= PUNDLROSA ACRES ! t'-1 A i 1!j
BLOCK= LOT= ZONE= SFR DIET4=
AREA= 00000000 :,-. /A ,. #.. WIDTH= ).}l::.i`..'_i..;:::: ,.`
OWNER= BUTLER, PHONE= 509 924 9419
STREET= 4223 SUNDERLAND RD
ADDRESS= SPOKANE WA 99204
CONTACT NAME= MIKE BUTLER PHONE NUMBER= 509 924 9419
BUILDING SETBACKS : FRONT= NA ....i::.i.:'i'::.. N(::y RIGHT::.. N{{ s;EA#•.,.:::: NA
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CONTRACTOR= STURM HEATING PHJNE= 6'25
E 204 DIANA AVE
ADDRESS='.,:. •• .I:t..ti!.:Ai:.E WA 9c207
I.Y.E.: DF,.-,_.,1;IFI .#it''i QUANTITY ..!..#.. AMOUNT
#
FEE
PROCESSING FEE 25,00
GAS WATER ER HE"A # ER 10.00
G{`•#: #.•5 # t,v till 1.I.P r. t 0 t,}; t,J{(!::1 r B # ,... 12,00
GAS PIPING
GAS LOG 10,00
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PAYMENT !.?[t I E::. E':t::t.:t:: I !9!• P #r tME -i . AMO#..jNI.
10/14/91 . ...a3 40,00
................................................
TOTAL
PERMIT TYPE ;..I::.E AMOUNT AMOUNT PAID AMOUNT i.. #nj :G
MECHANICAL ,.:I.,.rr. # A0,06 60,00 00
PROCESSED BY : JULIE SHATTO
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