1992, 11-12 Permit: 92010036 Gas Log SPOKANE .,OUNTY DEPARTMENT OF BUILDILJS
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 provisi. :.f any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. ,44
SIGNATURE OF • APPLICATION //
OWNER OR AGENT ft DATE
•
PROjECT NUMBER=S. 92010036 .?..}.}i..}?::.i 1 HERmIT DATE= 11 /12/92 PAGE= 01
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EITE STREET= .t.•••}08 W l i"i;l;;.i c"•y R i RD PARCELO= 44042,0512
ADDREES= EPOKANE WA 99206
PERMIT USE= GAE LOG
PLATO= 001738 PLAT NAME= M•Y RON ESTATES 02 . ? :• . ADD
BLOCK= 19 ZONE= DISIO=
AREA= WIDTH= DEPTH= R/W=
•ss• i.i?" f:`t._!?iaS.... ': 4 DWELLINGS= 1 1 'T?.:.?'; ....
STREET= 4508 E WOODWARD RD
ADDRESS= SPOKANE:ciI r'`ii`,E•. .d¢i 99206
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CONTACT ra'•ii`tl::..... 'ON SCHLERF PHONE NUMBER= 509 >`....... 4400
BUILDING SETBACKS : FRONT=r ... N! (•? LEFT= N/A A ?';.?.i:•?"? ? ... N/A REAR= N/A
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CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCEESING FEE
GAS LOG
10.00
1+: n N *Tis ? A * i ? * : j) 1 : * t ( :) ) t ) ) PAYMENT ` "1 ! R` ijj . j !jjjj. ii : j ... j . i:j ( j. j
PAYMENT i?'s# ? E #''•:Ei.:?::, i_+.: , ,,,. PAYMENT AMOUNT
11 /12/92 212 35.00
TOTAL DUE= .00 TOTAL PAID= 35,00
PERMIT TYPE FEE AMOUNT AMOUN..IA.1. j AMOUNT OWING
MECHANICAL +.. } ^% 00 35,00 ,00
35.00 35,00 . 00
PROCESSED DOMITROVICH , ROBIN
PRINTED BY : ,,•t ..?M.i. 1f'. VICH ROBIN
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