1992, 11-06 Permit: 92009847 Mechanical Fixture SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINTGTON 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 additi.n, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same II provisions of la . d ordinances governing this type of work will be complied with whether specified
i
herein or not.I understand that the issuance of this application and- . bsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisi y state or local I. -.. ating construction,or as a warranty of conformance with e provisions of any state or local
laws regulating construction.
SIGNATURE OF i APPLICATION
OWNER ORA �! DATE
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SITE STREET= 404 N WALNUT RD PARCELO= 45i74 , 2i09
ADDRESS= SPOKANE WA 99206
PLRmi ; HEAIING EQUIPMENT PIPING
PLAT41.= 00i954 PLAT NAME= OPPORTUNITY PLAT 3
BLOCK., ...
ZONE..
AREA= :.,:.:tar
OWNER= FRY, MABLE PHONE-
STREET= 404 N WALNUT RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= • ,:.=,iii HEATING PHONE NUMBER= 509 327
BUILDING EETBACKE : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
:i ':r : : i1.: : : ni : i: .� yi : j� ) . ; . yy : MECHANICAL i' i i i : j : : `: j:i:.:. j :.�j..:.tj..: . . .
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CONTRACTOR= STURM HEATING Pi-InNF=
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TTFM DF:s.:flPTPTTnN QUANTITY FEE AMOUNT
PROCESSING FEE 25 ,00
GAS HTG EQUIP< i00, 000)BTU 12 ,00
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pAymENT summARy
FW(MENI HELEIrf0 PAYMENT AMOUNT
11 /06/92 9913 '30 , 00
................................................
TOTAL DUE= , 00 TOTAL PAID= 38 , 00
PERMIT
TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWIW;
MECHANICAL PRMT 38 ,00 30,00 , 00
30 , 00 30 , 00
PROCEEEED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH , ROBIN
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