1991, 10-10 Permit: 91006732 Gas Log, PipingSPOKANE COUNTY DEPAR*i9IENT OF BUILDINGS
W4303 BROADWAY AVENUE
'r�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 thls 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 stateor local
laws regulating construction.
SIGNATURE OF / ,' APPLICATION
OWNER OR AGENT wI-y _ DATE /0//n/4/
PROJECT NUMBER= 91006732
ISSUED PERMIT DATE= 10/50/94 PAGE= 0f
**3*3**3e****#3*#3E3***3e*3*##3E* *3E3*3* PERMIT INFORMATION*****31*#HE#**************3He**
SITE STREET= V0818 8 E 4TH AVE:: PARCEL..'= 22542-1014
ADDRESS== SPOKANE WA 99216
PERMIT USE= INSTALL GAS LOG & PIPING
PLATO= 004 840 PLAT NAME= OPP. TR. 4-354
BLOCK= LOT= ZONE= AGSUB DIST'=
AREA= 00021000 F/A== F WIDTH= DEPTH=
' OF BLDGS= 0 DWELLINGS= 4 WATER DIST =
OWNER= ALBERS ROBERT A. & DIANE
STREET== 42.85 8 Et 4TH AVE:
ADDRESS= SPOKANE WA 99216
F
PHONE= 509 927 8666
R/W_
CONTACT NAME= LAYRITE PRODUCTS PHONE NUMBER= 509 535 4737
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
3****'***********•3f•3E**#343E*3E#34*3t•**3' MECHANICAL. PERMIT 3t'3***4E4H$**4***3E**3***********
CONTRACTOR= LAYRITE PRODUCTS
STREET= 5225 E TRENT AVE
ADDRESS= SPOKANE WA 99220
PHONE= 509 536 8364
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE. Y 25.00
GAS PIPING 4 1.00
GAS LOC: f 40.00
3*#3*3*3*3*3*###3*3*k#######3*3*3E*** *#*** PAYMENT ,SUMMARY 3EiE3ElE3E3*3E3E****#3E#3E##3E#3f3Eif3E3i3i3Eif•
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
40/40/94 7541 36.00
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL.. PRMT 36.00 36.00 .00
36.00 36.00 .00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
ii*** i3*M3*###3*3** *3*###3*#3*3*#3*#if•3*###3f• THANK YOU ****3*3***3******* *3*3(.3i..H..H..H3*3E3*#