1991, 08-22 Permit: 91005218 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
• SOOKANE,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
PROJECT NUMBER= 91005218 ! : 't ( tPERMIT
It! . ! i : E - }rr :_..._. %` PAGE=
01
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SITE STREET= 1 '«(e..21 1.: 4"'H AVE `Aa'.t..:f:.!.. v-'- 20552-0906
r,,,,1!'t :: i.... (.-{: •-;,NAt ,,,i.. a' WA 9901.6
PERMIT USE= GAS FURNACE,Vbi;-:E, W•r•:l ! Eri HEATER,, !.: I,t.I;;G, ... A/C
P I...A T:g.= 00:317 PLAT NAME= PELLEY ' S ADDITION
ZONE= SRR-5 DIST0=
AREA= i.. f S WIDTH= 140 DEPTH=! 307
0 OFBi...x:Goi-.... ! 0 DWELLINGS=.,:::: 'i ,xl('i»I•[':.I't. D.I.S�t =: (:::l..i d,4c i_•f, }f: : I::.Y)•+ .t.. t`G
OWNER= LOSH, BEN PHONE= 509 926 7954
STREET= 18821 E 4TH AVE
ADDRESS= GREENACRES `.;: 99016
CONTACT .NAiMr.:•. BEN i509
•! PHONE NUMBER=c:: 926 ;1rf;?:::::;
BUILDING .•1.:`. . FRONT= }.�;('' L.!::!-..! :: t'•a('�E t..!.i..v i..#'t E':j(`? REAR==t.i_4.'••'
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SEARS
," PflONE ::"`
STREET= P 0 BOX 3707
ADDRESS= SPOKANE WA 99220
ITEM! " DESCRIPTION QUANTITY
FEE AMOUNT
PROCESSING FEE
00
I (':{;: WATER HEATER 1::.!'G .}:. ..10,00
GAS hit :.( i..l.i P: f f)f), t•:1?.:}t::j:•'':5-3 !_; 12,00
GA!,:} PIPING.!.NLr ..?
AIR CONDITIONER 0-3 :•,
12,00
*****K**************** ******** ,-.,Y• N.�..
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PAYMENT DATE r C t•' 1 PAYMENT
,d,E.:�,7-� t i i� 1 N�i
f r
08/22/9i 5 9 ;5 60,00
................................................
TOTAL f):.:!::....- ,00 if„3F (.:,!.. ;-`AID::.. 60.00
PERMIT TYPE "! IAMOUNT AMOUNT »A7iAMOUNT OWING! JG
MECHANICAL ' : , 60,00 Ea
•E { „00
60„00 60,00 , 00
!.•`�t:U:.: :.``'--.'iPROCESSEDBY : JULIE SHATTO
€R .N ! t::.... B'ir • ... ..i L I!.':. S H(-';-? E O
j r** :*K**a ***y } 4: utj {.: : :.p ( r * THANK ' j ...: u ? i: jj :* jq :s , aFN „
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