1991, 09-17 Permit: 91005945 Furnace, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
y.AW. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permlt/appllcation, state thatthelnformation contained In submitted by me or my agenttocompilesald permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have reap and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws end ordinances governing this type of work will be complied with whether specified
herein or not. l understand that the Issuance of this permit/epplicationand any subsequent Inspection approvals or Certificates of Occupancy shall not beconstrued to
give authority tovloleteor cancel the provisions of anystateor local law regulating construction, orasa warranty of conformance with the provisions of any Meteor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005945
iF if*4i *.1f.1t.tt..14 i4.X 4E h' 4E 4t itis 4irh4
SITE STREET__
ADDRESS=
PERMIT USE==
PLATO=
BLOCK=
AREA=
O1= BL..RGS:=
OWNER=
STREET=
ADDRESS=
11104 E 7TH AVE
SPOKANE: WA 99206
GAS FURNACE & PIPING
001839 PLAT NAME= OPP. TR. 1-354
LOT= ZONE== UR --3.5 DIST:==
F/A== F WIDTH=-._ DEPTH=
.: DWELLINGS=1 WATER DIST :-
PERMIT DATE= 09/17/97 PAGE= 01
NFORMATION '>X4*...><'.><'.u'.wiou.x..ri..xiau..u..*)“:***i*u*units
PARCEL::::: 21542-4914
4BSLON,_ CAROL
1104 l: 7TH AVE
iPOKANE WA 99206
CONTACT NAME= ED MERTENS
BUILDING SETBACKS: FRONT= NA
Mk*it#M..x4*4E4Eii.4i4iit44i4i4E3E4E4E*N*4e**3*t4' MECHAN/CAI.
PHONE= 5
PHONE
LEFT:- NA RIGHT:: NA
PERMIT
UAE'
EAR
R/LI=
928 :'100
%O444E M *4E ISM* 34E*hi 44Kif0d*Mi44E R#
CONTRACTOR== A.& M QUALITY HTC; 6 ELEC INC PHONE.= `109 928 2100
STREET= 1._710 li_. INDIANA AVE
ADDRESS== SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FEE Y 25,00
GAS HTG E(UIPi100,0007BTU 11 I2;90
0
GAS PIPING
*4e3E.*3i** E#ii#*****) 14 E**)E1E**4i it4E*4E PAYMENT SUMMARY IE'1i*3*.1fiPif*#*****X44* HEit#*****4444
PAYMENT DATE:
09/17/91
TOTAL DLIE-:
PERMIT TYPE
MECHANICAL PRMT
PROCESSED BY
PRINTED BY
DEL
I)E.
RECE1: PTa
6599
.00
PAYMENT AMOUNT
39.00
TOTAL. PAID== 39.00
OU NT AMOUNT PAID
39.00
39.00 39.00
GLORIA
G._0RIA
%SS A4'M M"M'i4M'M'M'4E3E'M'N'Mb. 3*4E34i#44#iE i*A *.SE*.**
THANK YOU uuu
AMOUNT SOWING
.00
.00