1991, 10-14 Permit: 91006797 Mechanical Fixtures 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
PRnAFrT NUMBER= 91006797 IEEUED PERMIT DATE- 10/14/91 PAGE=
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SITE ::: i R!::.i::. f .... 3401 E .al'i,'-I.!.i.::i'!...Y' RD J T' ::R i..:.......... .. 33541 -2918
AlADDREEE= SPOKANE WA :9206
PERMIT ,..... GA,:: FURNACE, WATER E ER :'!EA ! ! LOG, & PIPING
PLATO= !,.?!,,?:} ..::,: PLAT A 1 !':!f.!' ...= !.!..`_.!.!.!. !i("1 E 4TH [.•;,'._t.,,j
BLOCK= LOT= 18 ZONE= SFR DIET4-
A E :`.•: '(':• .. F WIDTH= 07 DEPTH- 140 !'. i;+ - 50
0 OF BLDGE= 4 DWELLINGS= 1 WATER DIST - MODEL
OWNER- DELONG, DONALD PHONE= 509 922 0213
STREET= 3401 E WHIPPLE RD
ADDREEE= EPOKANE WA 99206
CONTACT NAME- DONALD DE LONG PHONE NUMBER=
09 922 0218
BUILDING SETBACKS : FRONT- Ni'-•t LEFT= NA RIGHT=Gi';'T= .'•!.(�i REAR- Nt.'.
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ITEM DESCRIPTION t.ON Q;;!', iTITY i i- Ar'!Oi. !•7 ,
PROCEESING FEE 25, 00
GAS WATER HEATER
10, 00
.:t,i:., .;., :''';F i'i'r !::j.:j i:j t'j(:j' B-t'i: 00
GAE PIPING 3,00
GAE LOG 1 10 , 00
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
................................................
TOTAL DUE- „00 TOTAL PAID= 60,00
PERMIT! ! 7F:;.. FEE AMOUNT AMOUNT PAID!j Ai`:!,!i iN OWING
.!E i_..!A...i.1„-A L PRMT 60,00 ,00
PROCESSED J:, i : JULIE ,•t'!('•j...!•%
PRIN1ED BY : JULIE ;;.`i..lA !•i
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