1991, 12-19 Permit: 91008716 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;tate 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 proce'ad 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
PROJECT NUMBER- 91008716 T,T.TUED PERMIT DATE= 12/19/91 PAGE= 01
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SITE
ITE s:•:i " :t': 2419 : " y : "
" a! �f ; .# # r. 25543-0301
ADDRESS= `v`C:?'{f t 1_t r-:?...#::. WA•# t•j,."[
PLATT,— 00264PLAT N!'#3"#E= =.iy:).t?...F`•.I...f^ie`r!{::. ADD
'±t' O?.. ist!...ti{S.[»,:::: }, DWELLINGS= '? WATER Ei':; 3-j $,., ( ...
OWNER= :» , [x:rI ,:.P. j
S. , ::=;..1 0j j{::." 509 926 4739
DHr,lv. r. :. : :•:
ADDRESS= lr Y;;.,; :! :.;:i....... WA 99037
CONTACT : ,,y.E SEARS/BARTON PHONE NUMBER= q
9 - 9 -1170
BUILDING SETBACKS : FRONT- • " LEFT= N/A '. _ : ? _ ` ! qREAR= N/A
:y}:'}y:3}:*Si..i±.St•S±:•.'t:•b':'1: 'S}:•P:iti 3'i'rS Il S±.R.r:,±. 8. A H. ri y.a.!t 1y.Dt ?`'1:::.!..:F..i f:?N.#.c fn't.... ?-"E::.`,-t',"`: ?, :ç.......................Jk N:'Nr 3Fr `}?±i k s:*i±±i
CONTRACTOR= SEARS PHONE= 509 489 1170
STREET= P 0 BOX 3707
ADDRESS= y1-'i..t;ANJ{::. WA I922:;
...M DESCRIPTION
QUANTITY
,.k,T.!.. ,f r..,.. AMOUNT
PROCESSING FEE
GAS HTG EOUIP< 100, 000>BTU 12.00
GAS PIPING # 1 ,00
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/19/91 5 ± ... 38.00
TOTAL DUE- ,00 TOTAL PAID= 30 .00
PERMIT TYPE
,Y rEF E E . "»
t` AMOUNT tN { t^4j„_F: AMOUNT OWING
MECHANICAL F:'R M i 38,00 38,00 ,:5,:•±,:1
PROCESSED i"t- B' : DOMITROVICH, ROBIN
PRINTED :t:t: i"i?. . .... . I+:•. : ROBIN
, .. . . . . . , ± : :.: a: P : t t A )t. : l PY (j ; THANK you *K*********************:**********