1990, 01-03 Permit: 90000036 Piping 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER- 900 :00: iAif _ 01i07!, <90 PAGE=
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ISSUED (::r:pMT'r
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SITE:: STREET= i8505 E 4TH AVE r:,ARC:E'I...O ::
ADDRE '.:i ,l'ci::.E:.Nf (::E<t:...:' tot"i
PERMIT USE= GAS PIPING
F'i...AT,:= 000501 Pi...AT NAME= CO RBIN ADD TO GRE::ENAc:RE::S
BLOCK= 27 LOT= ZONE= AG :i: DIST4= rY
AREA= 00000000 i::'/'A= 1:- WIDTH= 3i9 D. r i•I..I= 630 {:.;/W-
:H: OF BLDGE= i :»: DWELLINGS=
SELLERS, PHONE- >0':> 928 3..
STREET-I ::.. 18505 I::. 4TH I'{ A 5:(;'
ADDRESS- �••r,)
DI E::;`,`.;`- GREENACRES;` WAA 99016
, CONTACT NA"Ir ( A` SERVICE tIONF NUMBER= 503 924 5888
BUILDING SETBACKS.: ERiw" - NA LEFT=_ A RIGHT= A REAR= NA
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CONTRACTOR= SERVICE COMPANY PHONE= 509 92. 5888
STREET= 610 N COLLINS RD
ADDRESS= SPOKANE WA 99216
I'1'F:"i DESCRIPTION {•!I..EAi'J..J.IT (::'1:::I::: AMOUNT
prfflussING FEE 25.00
GAS HTG EQUIP4.100, 000 BTU 15A0
GAS PIPING
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PAYMENT DATE RE:CE::I r''T'',r PAYMENT AMOUNT
01 /03/90 60 4l 00
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i f°ii... D..:}::. :: .00 TOTAL PAID= :. .,=.yt:;
PERMIT TYPE FEE AMOUNT Ai1ol. in' FAIT) AiMOU..iN"(' OWING
ME::(::HANIC::AI... PRM"(' 41 ,00 41 ,00
41 ,00 41 ,00 00
E:, fl(::F,`.': E:i:T.i BY : 5TEVI: I-I(►L.YI
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