1991, 10-24 Permit: 91007172 Furnace, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 7303 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 o laws and ordinances governing this type of work will be complied with whether specified
herein or not. l understand that the issuance of this ermit/application and y subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcanc isions of ystate o local law reg ating construction, or as a warranty of conformance with the provis' ns anytate or local
0 G7
laws regulating construction. /^ / /,
SIGNATURE OF APPLICATION /0
OWNER OR AGENT DATE
PROJECT NUMBER= 91007172
ISSUED PERMIT DATE= 10/24/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 4004 S WOODRUFF RD PARCEL4= 32544-2106
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE & PIPING
PLATO= 002087 PLAT NAME= PONDEROSA ACRES 5TH ADD F
BLOCK= LOT= ZONE= SFR DIST4=
AREA= 00015000 DWELLINGS== F/A=
F WIDTH=
DEPTH= 150 R/W=
4 OF BLDGS= 1
OWNER= ADY, DAVID L PHONE= 509 922 3478
STREET= 4004 S WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAVID ADY PHONE NUMBER= 509 922 3478
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**•***************************** MECHANICAL PERMIT **************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS HTG EQUIP<100,000)BTU i 12,00
GAS PIPING
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/24/91 7963 38.00
TOTAL DUE= .00 TOTAL PAID= 38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 38.00 38.00 .00
38.00
38.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU *********************************