1991, 09-17 Permit: 91005975 Furnace, Piping SPOKANE C )LINTY DEPARTMENT OF BUILDINGS
,V. 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= 9-1005975 ISSUED PERMIT DATF= 09/i7/9i PAGE= 01
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SITE STREET=
v, = _' l;a:;;r .`, EUNDERLAND RD FiR -• 32543-0210
ADDRESS= SPOKANE#}E:_A1'.Jf L1 i':'; 99206
PERMIT U .'a „' ;,f'-i:r FURNACE L. PIPING
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STREET= 4205 S SUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT
th , w. . r : r : . BRAD i - l: _ii ` . NUMBER= 509
'7%24 001R
BUILDING ! ,.r A! , S - .#; ... ':i j.' ., RIGHT= NAREAR= NA
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STREET= 521 N FIA RD
ADDRESS= SPOKANE
...:.ft 99212
ITEM r1 : _ " # serONQUANTITY
:'E#::. AMOUNT
FEE PROCESSING l...L.. Z I,.Y 00
GAS HTG EQUIP< 100, 000>BTU 12,00
GAS F I i" Nt„ 1 .,!•r+E;1
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PAYMENT i(E i N..E. :#r`!.r E RE:: s:..:F' w'' PAYMENT AMOUN..
09/17/9i 6631 38,00
TOTAL DUE= , 00 TOTAL PAID= 38,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT i fixiI •t(•.
MECHANICAL PRMT 38,00 38,00 ,00
„
PROCESSED SED r : WENi)EL, GLORIA
PRINTED B . : W EN ?E E..., GLORIA
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