1991, 09-11 Permit: 91005704 Furnace, PipingSPOKANE COUNT'ThEPIICRTMENT OF BUILDINGS
W. 1303 BROADWAY AA'b NUE
SPOKANE, WASHINGFON99260
(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 thls 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 an - or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating constructio
OWNER OR
SIGNATURE OF f APPLICATION / /
DATE 7— /-2
PROJECT NUMBER= 95005704 ISSUED PERMIT DATE'.::::: 09/11/91 PAGE= 01
3030#)E)t•#u3E#3E3E3i3E3Ekii3(3()F3fi{y:*>i•ii*** PERMIT INFORMATION*•*'Ir******x.}t;f.}(.****)Fle****iEi ***
SITE STREET= 11523 E 4TH AVE PARCEL=== 21541--0809
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE & PIPING
PLAT:-:: 001839 PLAT NAME= OPP.TR. 1-354
BLOCK= i77 LOT= ZONE= AGSUB DISTI== r
AREA= 00000000 F/ A::= F WIDTH== DEPTH= R/W::= 40
4 OF BLDGS= i v DWELLINGS= 5 WATER DIST =_
OWNER= PETERSON, BERT
STREET= 11523 E: 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BERT PETERSON
BUILDING SETBACKS: FRONT:::: NA LEFT= NA RIGHT_: NA REAR= NA
*e*****3iii****)*4***)fl*3*3HE*3e3fl )i•3*3HHI ME:cHANICAL PERMIT ***************xa
CONTRACTOR= OR OWNER PHONE=
PHONE:= 509 928 3879
PHONE: NUMBER== 509 928 3879
ITEM DESCRIPTION
PROCEESSINC; FEE::
GAS HTG EQUIP<100,000>BTU
GAS PIPING
QUANTITY FEE AMOUNT
Y 25.00
1 12.00
5 1,00
*A**
****##ieiE3E#)03030303E*3E3E3E3E3E)E* #####3E# PAYMENT SUMMARY **************3E)E**d ***:Th:
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/11%91 6422 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
**3E.x•3E*•.ttrE)E3<.*.tt..x.x.3E.u..x..x..x..x..x..x..tt•)C-***-X..x....)E.x. THANK YOU***-)...H.3..h.iEH.)(..ri##)E3E3i*303435.30##3Eri3iri3E3E3f3E3i•#