1992, 11-19 Permit: 92010224 Gas Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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
VOID
PROJECT NiMIEf = 92010224 ISSU D PERMIT DATE= 11 /19/92 PAGE 01
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SITE STREET=
12914 F.-_ ,ti E.t-i i;.0 RD I't`t R!=F I_- 4527'2— 1 806
ADDRESS= SPOKANE. WA 99216
PERMIT USE= ( 4)GAS PIPING
F'I...ra1'4:_: 001846 PLAT tNAME:::::: OPPORTUNITY TERRACE:: 4TH ADD
BLOCK=- 5 LOT= ,h ZONE t.II -"r DIST4= I_
AREA= t- A_:: F WIDTH= 90 DEPTH= 136,.. F'./ `:'
OF Iti_DGS- 4 DWELLINGS= •i WATER DIST =
OWNER= BILLINGS, ROBERT PHONE== 509 927 4695
STREET= 12914 I-: Si=:i-ik0 R
ADDRESS= SPOKANE:: WA 992.16
CONTACT NAME= ROBERT BILLINGS PHONE NUMBER= 509 927 4695
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR:::: NA
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CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F E E:. 25,00
G A S PIPING .4 4 ,00
MINIMUM FEE ADJUSTMENT Y 6, i t_)
*)i:***************************** PAYMENT SUMMARY **** ***ikiE•)i********.,E*li•li•ii•#iE=,i-h:
PAYMENT DATE RECEIPT PAYMENT AMOUNT
11 /19/92 44^ 35,.00
TOTAL. DUE:::: „00 TOTAL PAID= 35,00
PERMIT 1'YF'E FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRM 35, 00 35.00 oo
35,00
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PROCESSED BY : WENDEL, GLORIA
PRINTED BY : i1JE.: iI)E::I... , GLORIA
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