1991, 11-12 Permit: 91007728 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 iss ance of this permit/applicatio i and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th-.rovisions of any state or loca .w regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction./
SIGNATURE OF / APPLICATION j/_1, --
L /
OWNER OR AGENT ✓/ ;rte y DATE
/
PROJECT NUMBER= 91007728 ISSUED PERMIT DATE== 11 /1 ..... . 1 PAGE= 01
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EITE STREET= 6309 E STH AVE PARCELO= 24532-2633
Al lF°•°i:.,`.;::;= SPOKANE I::iA 99212
PERMIT UEE= FUTURE GAE PIPING OUTLET
i`1. A t ',1...» PLAT NAME— APPLE WAY t'II::..LisH '
BLOCK= LOT= ZONE= UR-7 DIST4=
0 OF :_L 11.C_:: 't±• DWELLINGS= Wt i . E';`. DIST .._
OWNER= BROOKS, KEN PHONE=
STREET= 6309 E TH AVE
ADDRESS= S OKANE''•WA 99212
CONTACT NAME= :.: I l.tl•tM HEATING PI•-,.:I"?±-.. I`?i.!I"I.i:•±::.I':,.._ 509 :^_':..... 4505
BUILDING : : - st :KEFRONT= NA LEFT= NA RIGHT= 1i REAR= A
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CONTRACTOR= ,, ! i.?RI"I HEATING PHONE=;,,IIvl-..... )09 325 :.>:::}±;?.:
STREET= :%04 E INDIANA F 1 V::.
Y` C'';:::: +4 9207
ADDRESS= SPOKANE WA . . ::..tit ±`
ITEM oEtC , PTIOV QUANTITY FEE AMOUNT
-------- --• ----------
PROCESSING FEE 25 .00
GAS
' OUN
1-:'r;-_I i' to ?t+''
MINIMUM FEEADJUSTMENT �:k'' ti;!_`
: *it{ i: : * : j: : i: : *: jjl *:y: : F : N: } FPAYMENT ti )" I F _ - } 1 : : : ijF : : : : 13 ] N: F j )} ;: tt1 !
PAYMENT DATE ;=±:•t: '+ 4 PAYMENT AMOUNT
11 /12/91 ...55.6 35.00
TOTAL DUE=ij.:.::: .. 10 TOTAL PAID= 35 . 00
PERMIT
TYPE FEE AMOUNT AMOE_tN ! PAID AMOUNT OWING;
MECHANICAL PRMT 35,00 35 ,00 ,00
35,00 3±; . 00 .00
PROCESSED BY : FORRY, JEFF
PRINTED T Y : FORRY, JEFF
p : : tC C 11I *Jt .t PN1 t : :U) C 1 1i i ? v B ?* THANK Yr
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