1991, 10-09 Permit: 91006713 Gas Log, Piping SPOKANE COUNTY DEPAR"*HENT OF BUILDINGS
W. 1303 BROADV AVENUE
SPOKANE,WASH_ TON 99260
(5091 4364675
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 thern .a e of this permit/application and any subsequent ins.ection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or canc- he provi ions of any state or local law regulating constructi. .r as a warranty of conformance with the provisions of any state or local
laws regulating constructio— — /
SIGNATURE OF APPLICATION /v p/ 47/
OWNER OR AGENT 7
PROJECT NUMBER= 9.100671 ,? ISSUED PERMIT DATE= 10/09/91 PAGE=:. O'!
****? iM ; i*i } ? i *ks 3t N3i *J t*} _R" IT INFORMATION ii•*k'n•aF 3E k-}i•ii r.*i?•a!•i!•*p.:ri•r::N:)E*iE#••'r.•i>:ii•jr•it
SITE ' t! E _ 2009 N SUNDERLAND „
D :(
+ , Lr_ 08543-0176
ADDRESS=
SPOKANE WA 992.06
PERMIT USE= INSTALL ±_-AS LOG & PIPING
!;•
PLATO= 002357 PLAT NAME== ,: I'1f NNOPJ ACRES i `'"U :t
4 OF "{± ±-?GE= :p• DWELLINGS= WATER DIET
....
±,_:LJ,.1•ll.:.t4:::: T'!,!r':,::•I<:.i. , 1i:..Jt3N.L1::. PHONE= 509 • :...-..J 3792
STREET= 2009 N SUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT f � ` f 'l = } !NN } : ! ! :: c I PHONE NUMBER=
! • ;! °- - _ r 926 3792
BUILDING SETBACKS :
FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***********************1.:******* Mr c H f i N:i:i.:t I... I:•`I:::f t:f'f.i. f •hi•a:•ji.:ri*•J!••a:*r::R::R*.x..n.Ji..j{..n..n:s!••Ji'*•Ji*n.•n:*
CONTRACTOR= OWNER PHONE
ITEM DESCRIPTION 1:}
PROCESSING FEE 25 .00
GAS PIPING 'I 1 ,00
GAS LOG 10 .00
.•• yY M„--. T .•. .... .) 31 3 .. .....
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PAYMENT D- I "I _ Ia : PAYMENT f "tU`10/09/91 7518 36.,00
TOTAL DUE- ,;ji.j TOTAL PAID= 36.00
PERMIT TYPE ±..E.E AMOUNT AMOUNT PAID AMOUNT T OWiI.NG
%iEC::HA!N.I.CAI... i::RM r 36..00 36.00 ..00
36.00 36.00 .00
}
PRocFs:Fn BY : JOHN LARSON
PRINTED BY : JOHN LARSON
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