1990, 08-07 Permit: 90003794 Water Heater SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
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SITE STREET= 4522 S WOODWARD RD PARCFL4= 0,1442-0509
ADDRESS= SP8KANE WA 99206
PERMIT USF,, GAS WATER HEATER
BLOCK=
Inv. 16 ZONE= SFR DIST4=
AREA= 00000000 ESA= E WIDTH= 90 DEPTH= 141
OWNER= CARSON, CA Y PHONE= 509 922 516
STREET= 4522 . S WOODWARD RD
ADDRESS= SPOKANE WA 99206
LUNIC r. .. .
H,'.,;UN PHONE NUMBER= 509 5i66
k3OILDING Ws! LEFT= NA RIGHT= NA REAR= NA
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:_:,..?}. t i-,F•.t..: ,,,.}:,.... 7\:t..?I.C.,t„! HEATING _ .., ...: .. I E'••:t--: PHONE= 509 534
QUANTITYSTREET= 5051 E TRENT AVE
ADDRESS= SPOKANE WA 99212
ITEM DEECRIPTION
GAS WATER HEATER 10 , 00
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PAYMENTr! i aNi„
TOTAL DUE= , 00 TOTAL PATD= 75 , 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT nw-TNr.:
5, 00
ft.......:
U E..:s::.i:::.:-?:: D H Y : jULIE SHATTO
PRINTED BY : JULIE:.. SHATTO
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