1992, 01-21 Permit: 92000323 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,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= 92000323 ISSUED PERMIT DATE= 01 /21 /92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12823 E VALLEYWAY AVE PARCEL*= 15543-1920
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS WATER HEATER, HEATING EQUIPMENT, & PIPING
PLATO= 000000 PLAT NAME= UNKNOWN
BLOCK= 119 LOT= ZONE= UR 3.5 DIST*= F
AREA= F/A= F WIDTH= DEPTH= R/W= 50
O OF BLDGS= i O DWELLINGS= i WATER DIST =
OWNER= HAMMOND, DALE PHONE= 509 928 0854
STREET= 12823 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= AIR-DESIGN HEATING PHONE NUMBER= 509 487 4328
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= AIR DESIGN INC PHONE= 509 487 4328
STREET= 1807 E FRANCIS AVE
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS WATER HEATER 1 10.00
GAS HTG EQUIP<100,000>BTU i 12.00
GAS PIPING 2 2.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
01 /21 /92 387 49.00
TOTAL DUE= .00 TOTAL PAID= 49.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 49.00 49.00 .00
49.00 49.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************