1991, 08-29 Permit: 91005417 Gas Log, Piping 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 -2n APPLICATION
OWNER OR AGENT /_ �/1. /6/i DATE '" z9 - p.
PROJECT NUMBER:- 91005417 ISSUED PERMIT DATE= 08/29/9i PAGE= 01
**************************** PERMIT INFORMATION ****•****************** *****
S]:TE STREET= 14922 E. VALLEYWAY AVE PARCEL..:!= 14544-1509
ADDRESS= SPOKANE WA 99216
PERMIT USE= INSTALL. GAS LOG & PIPING
PLATO= 002757 PLAT NAME:- VERA
BLOCK= LOT= ZONE= UR 3.5 v]:ST4=• F
AREA F.rA:::: WIDTH- DEPTH= R/W::= 40
OF BLDGS= 4 DWELLINGS= i WATER DIST = VERA
OWNER::- SPENCER, EARL D. PHONE== 509 922 6322
STREET= 14922 E. VALLEYWAY AVE.
ADDRESS= SPOKANE WA 99216
CONTACT NAME= EARL. SPENCER PHONE NUMBER= 509 922 6322
BUILDING SETBACKS : FRONT:::: NA LEFT= NA RIGHT- NA REAR= NA
a••X.k *ikkai*iia k****#i*atx* :3F****ai*** MECHANICAL PERMIT ai*•*•*.*.A**aiai*•*•***•*' :•****iix*•*
CONTRACTOR= UNKNOWN PHONE:
STREET- UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
_._._....._.....__ .____._..__.._.._.__._.._._._.__ 25A0
GASPROCESSING FEE i' : ?.4:
GAS PIPING 1 1A0
GAS LOG i 10.,00
**************3**********•****** PAYMENT SUMMARY * •*•**•************ * •** •***•;t
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
08/29/91 6148 35.00
TOTAL.. DUE== .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL.. PRMT 36.00 36.00 0
36.00 36A0 00 .,00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
* . *** *** - *********3 ******* THANK YOU m•*xk***•******• *xx**A•x**A * ••x*•**.**•