1991, 09-20 Permit: 91006120 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':ovisions 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= 91 0061 ;o ISSUED PERMIT DATE== 09/2',/91 PAGE= 01
**************************** PERMIT INFORMATION ********************* •******
SITE: STREET= 4112 N 1r'E:RCL»E::R RD C••'AFcCE::1..4- 03542-0208
ADDRESS- SPOKANE WA 99206
PERMIT USE= GAS PIPING
PLAT l w 002503 PLAT NAME= STEVICK ADD
BLOCK= a? LOT= 8 ZONE== UR-3,5 DIST 4=
AREA: F/A== F WIDTH 80 DEPTH 150 R/W=:
N OF BLD[;S= 4 DWELLINGS= 1 WATER DIST =
OWNER= CALADILLAS, ARTURO PHONE= 509 927 2790
STREET= 4112 N VERCLER RD
• ADDRESS= SPOKANE WA 99206
CONTACT NAME= ED MERTENS PHONE NUMBER= 509 928 2100
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT=:: NA REARM NA
R•R* ****.3{•****.... ******.•3l•*** MECHANICAL PERMIT *********** *•********•*****
CONTRACTOR= A & M QUALITY HTG & ELEC INC PHONE= 509 928 2100
STREET= 12710 E INDIANA AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE: T 25„O0
GAS PIPING 1 1 .00
MINIMUM FEE ADJUSTMENT Y 9.00
****••*•*****•********* •****•******* PAYMENT SUMMARY *** •*****•******** •***•*******
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
09/20/91 6814 35:.00
------------
TOTAL DUE=" 00 TOTAL PAID== 35 ,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 35,00 35.,00 00
-------------
00 35.00 ,00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
*****k•**•* **********•li******3r**** THANK YOU ******•***************************