1991, 09-19 Permit: 91006067 Furnace, Piping S'7OKANE COUrTY DEPARTMEN ' 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT
E:-,T •.:U:,..,E R .—.: :. ISSUED DATE= -i9 : PAGE= 01
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SITE?::. :.; ? 3'S,...?::. ? 14819 {._ VALLEYWAY A V t::. ?``.'s:? .:t::.1...:,}...99216
•�
44-0839
ADDRESS=: SPOKANE WA ...
PERMIT!"i.I. 4 .E GAS FURNACE 5r4ACE ... PIPING
PLAT*::: 0e327I 7 PLAT NAME= VERA
BLOCK= LOT== 8 ZONE= €:'.,% S i-iii #t.i.`s; :":::::
AREA= 00000000F!rt•` FWIDTH= DEPTH= j'/W= 40
-r.- ?.i?" %t I. =??s,:S.... •! 4 DWELLINGS= '? WATER DIST
OWNER= LA FRANCHISE, ED PHONE= 509 928 1243
STREET= f j ; 'j i? I:� au'!••i I.»I... Y i €�!•Y� €AY'n`I::.
ADDRESS= SPOKANE WA99216
. YY .r,
CONTACT NAME= .r•, •O;;,.
: PHONE
. r . 92- 5000
BUILDING : ? TB€ ? : : : FRONT= NA LEFT= NA RIGHT= 3A _ `f ; : NA
: :Pk AR t R { Pk Pt R tRt {lk*NlN N H t MECHANICAL FE R" iT rPii *P: aiP * i1in ;**P ;*A :
CONTRACTOR=i OR.... BAR ! Oil HEATING " A/C. C PHONE= 509 922 5000
STREET= 11816 .. MANSFIELD F!M,:.. 0003
ADDRESS=
SPOKANE WA 99206
ITEM EM Ti[.:SCR]:I:'TION QUANTITY FEE AMOUNT
PROCESSING FEE 25.00
?x€A!r3 r•I ! G ?:'.?x}?.?.i.i'-t, 1 t: 0, >.,;;t„. ;•x{ ? !..! '? 12.00
GAS PIPING 1 .00
t t *t ; _ ta *rik ariii ir> ; i ) tRAyMENT SUMMARY ii ir*37 . ? tiiiii3 **: * i3 i i **
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/19/91 • 6717 38.00
TOTAL! AL DUE ,00 TOTAL t AL PA.I.)t , 38.00
PERMIT 7f " . ; a ? AMOUNT tf ? NPAID Er ? - vOWING
MECHANICAL
iCN : IPp ;T 38.00 38.00 .:(DE)
38.00 38.00 .00
PROCESSED BY : :
PRINTED jULIE
SHATTO
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