1991, 12-10 Permit: 91008517 Gas Log, 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
,
?"?'4 t.?..?I::.+..: ? NUMBER= 91008517 ISSUED PERMIT D A T E: . ..... . ':i/`'.'i ±''Aaf::.::::
3k 9?•Fk R••tY 9+:9B'1}:'P:9{'N:•tk 91-:R:?k:»:94?It 4k*.!r.*.p:.1R..!,,*y„y}. ?.:?::.{•'.'?"? + + INFORMATION 14.9C*P:•ir•tti:R•Y:'P:-H::k*.,l.i!..74..,;.jc.i,.:t,..*.i,,..i;,,R,..i,,.it.il..i,.:t,,
............ STREET= 19;-:2 0 4TH AVE t''-}RCE 1..:n 20552-0206
ADDRES
- ::-r;; , -
ATiDF'R•.F:S ::.: GREENACRES WA 99016
PERMIT USE= GAS LOG & PIPING
I"L.fi 0004 t : PLAT fA"E : :O R r : N n r TO
Y • . . ?r ? + :
BLOCK=
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AREA= 00000000 F •r:}=. F WIDTH= DEPTH= ;,t::.
v OF S:�L..A?lr,.`:•••- -? •r.• ?,/tit?::.?...?....1.?��+.::,:::::: ,
WATER DIE ? ,. , ;
i..?WlNER:::: DRAKE, STEVE PHONE=
`
ADDRESS= i»Y.t!E:"N G:i:-{ ; i U :} 99016
,
CONTACT NAME:::: NATIONAL CHIMNEY SERVICE PHONE NUMBER= 509 922 2000
N/A-
BUILDING SETBACKS : FRONT= ,`r: L.E T.:.. N/A A R :GHT= N/A REAR= I d A
. r *t i * r n nx r*trkrra31rMnb .nr*} E n3MECHANICAL ' . _ ^ r -
********************** **:k
,.:,.??`? . P`•.A!.: ? O?'{= NATIONAL CHIMNEY SERVICE ?.:i..?t.?!'@.::.:::: 509 922 2000
STREET= C ;? " ; BROADWAY
A V E
ADDRESS= SPOKANE WA 99201
ITEM DESCRIPTION P.:'..?f•i t•_ i s, ? Y L..::. ::. :..t I';i..;U?` t
;, l i...,.. ;j i' 1 i25,00
GAS PIPING j f':}
GAS i..O?!:. 10 ,00
t !ijx rF ****Jt; ;*** ;*: .y: 7: . t ; c ? rY ` ? ' SUMMARY !: ** .. ;1t : arKtr: . . : :.,:..:.,;... . . .: : a
PAYMENT T Drs•TE RECEIPTO PAYMENT AMOUNT
.
12/10/91 9342 36. 00
................................................
D... ...I::. :. t;tt;t TOTAL I"?'!..l,1:::: •.`6 :.:_i:;}
TOTAL t t t ::::
PERMIT TYPE I.:`::. AMOUNT (-}I"?i.-?:-,+i'•t : F`ATI) AMOUNT OWING
1ECI"Ef}1`t1.?.::toI... PF7.I`'!T 36:.00 ,%;•"::.!it') _ t:i"i
36. 00 36.00 .00
ROt.:E,D,i:.E?.? BY : ?.?1.11•^I t RO+.t•ICH : ROBIN
PRINTED BY : T?i_i?'"'t.1. fRTO;1.i..:II , ROBIN
*KY:***************************** THANK 'r'1-1 i i **, ****************************Y: