1992, 06-04 Permit: 92004020 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1305BROADWAY 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF C/" APPLICATION
OWNER OR AGENT lI�yl �(/�I�' DATE
PROJECT NUMBER= 92004020
ISSUED PERMIT DATE= 06/04/92 PAGE= 01
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SITE STREET= 613 N WILLOW RI) PARCEL.;:=:: 17'_543-0533
ADDRESS= SPOKANE. WA 99206
PERMIT USE= GAS FURNACE -- WATER HEATER -- PIPING
PLATO= 1001E3.55 PLAT NAME= OPPORTUNITY SUB.TR.99
IL...00K= LOT= ZONE= UR --7 DI:ST4:=: E
AREA= F/A== f WIDTH= 91 DEPTH= 200 R/W.= 40
OF I?I...DC;S== 1 0 DWELLINGS= NGS=: 1 WATER DIST =_
OWNER= ROBINSON, DENNIS J
STREET=: 6i3 N WILLOW II)
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A -i GAS SERVICE -- JON JOHNSON PHONE NUMBER== 509 922 3704
BUILDING SETBACKS: FRONT= NA LEFT== NA R:i:(:,iiii::= NA REAR= NA
PHONE= 509 928 7493
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CONTRACTOR-- A-1 GAS SERVICE & REPAIR
STREET== 511 N FARR RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FE:E:: AMOUNT
PROCESSING FETE_ Y <.'.` 400
(GAS WATER HEATER 1 110.100
GAS HTG EQUIP( 100, 000>ETU i 52400
GAS PIPING 2400
PHONE= 509 922 3704
)f**.****36*•***.3{.***3{***3{.3<..3*}(........x..h.*..>c..* PAYMENT SUMMARY 3e**.3t3.3t****.3 *.*..>i..3.**•***3e******3e*.
PAYMENT DATE RECF.::IPT4 PAYMENT AMOUNT
06/04/92. 4201 49.00
TOTAL DUE= .00 TOTAL PAID== 49.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAIL) AMOUNT OWING
MECHANICAL PRMT 49.00 49.00 .00
49.00 49.100 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL.., GLORIA
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