1991, 08-15 Permit: 91004998 Furnace, 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
PROJECT
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SITE iiE::.E- E ... 4506 I:: ".H AVE PARCELO— 23532-3904
ADDRESS= _St••�Ji{ �: ��F 6TH
99'1 2
PERMIT i.l:}!::..... `t:t:..#,.: FURNACE .. PIPING
:
PLATO= !.t,. .. ....__? PLAT t?f•91"E:: (::: i''•:i'%i"t i.t e'"i:.. i••?i.:;_J
BLOCK= LOT= ZONE= UR-3,5 ?_1�.is ! :; .. i:..
DWELLINGS=AREA=
OWNER= WAGNER, JOHN M PHONE= 509 535 4259
ADDRES::•:::: SPOKANE t::. ^A 99212
CONTACT .
NAME= ,r r s t...?'. ' .. PHONE NUMBER= .. ...... 2100
BUILDING SETBACKS : FRONT-.. NA LEFT= NA RIGHT= NA' R::'AI'.:::. NA
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CONTRACTOR= ?•-. :_q ,} QUALITY E"'! ' E':.+._E::.L.:
DESCRIPTION ! V t PHONE= 509 92@ 2.100
STREET= 12710 E INDIANA AVE
ADDRESE,,, SPOKANE WA 99216
ITEM ;Ia`..T I ' . FE AMOUNT
PROCESSING FEE 25
a - .
GAS , ; _" s # " / : ; ` • jC _ . ii „ 1 , jj
GAS PIPING 2 2,00
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PAYMENT E J ` # , t.r'E., , ,.: # ,,,, #••t-'f M E::.`t•'-i AMOUNT
08/14/91 5631 39,00
08/15/91 ... ...+::? l` 39,00
................................................
TOTAL DUE= AO TOTAL PAID= 39,00
PERMIT TYPE ,..:.:t... AMOUNT AMOUNT PAID (•M,,,)UN i OWING
G
MECHANICAL r., .,;_,. 39,00 39,00 ,00
39 ,0 0 ... .. .. n r:4'•:1
PROCESSED Al'i : W!::. 1,al..!..; GLORIA
PRINTED BY : t;•:EEE`•tJE'E GLORIA
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