1991, 10-29 Permit: 91007061 Furnace, Water Heater 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= { TouNEn pERmTT DATE= 10/29/91 PAGE= 01
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EITE! STREET— 1009 N WARREN RD :: ............ .. . 14542-0522
:.:. :. v ........ 00' PLAT( NAME= VERADALE lit::HEIGHTE 05TH r.:;:
BLOCK= 5 LOT= i ZONE= ..} is
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OWNER= BORGEN, JOHN PHONE=
STREET— 1009 N WARREN RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RUSE LUNDE PHONE NUMBER= 509 535 1711
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CONTRACTOR= BANNER FURNACE. & 1—ULL CO INL, PHONE= 509 535 1711
STREET= P 0 BOX 4346
ADDRESS= SPOKANE WA 99202
PROULEING 25 ,00
GAS WATER HEATER 10,00
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AYMENT DAT f: RECEIPTO PAYMENT AMOUNT
10/29/91 0135 47,00
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TOTAL DUE=.... ;_ ..,..: ! +: s t"!{... PAIv= .. .. ..
PERMIT{ . .:E FEE AMOUNT iO UN-. Ar"i}...0{'l+•• PAID•... AI.ii::i1,IN OWING
MECHANICAL PRMT 47 ,00 47 ,00 , 00
47 ,00 .S 70i.'J .. .. .
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