1987, 04-16 Permit: 87001000 Furnace, ACSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 992Q0
(509) 456-3675
I certify that I haveexemined this permit and state that the Information contained in it and submitted by Me or my agent tocompile said permit is true and
correct. In addition. I have read and understand the 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. Thegranting of a permit does not presumeto giveauthority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 87001000
DATE= 04/16/87 PAGE= 01
******#########%##%x#####x## PEIRMIT INFORMATION ######fl***#uX#******#######
STREET= 13212 E 7TH AVE P'ARCEC= 22541-1107
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS FURNACE/AIR CONDITIONER
PLATO= 000278 PLAT NAME= BURCHELL 1ST ADD.
BLOCK= 1 LOT= 2 ZONE= AGRI DIST.'r. F
AREA= 00012420 F/A= F WIDTH= DEPTH= R/W=
BLDGS= 1 ; DWELLINGS== 1
OWNER= BLAHUCZYN, SIG
STREET= 13212 E 7TH AVE
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= ERIC ANDERSON PHONE NUMBER= 509'-928-0960
BUILDING SETBACKS: FRONT==
RIGHT== REAR=
##a#####x#####.x..iFu..tt.#.tt'n####n#**n# MECHANICAL PERMIT'x#re#.x..x..x.#'.x###.tF#..x.#..tt.#.It.
CONTRACTOR= ANDERSON'S SHEET METAL
STREET= 13903 E TRENT AVE:
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FEE
'GAS WATER HEATER
GAS HTG EWUIP(100,000)BTU
GAS PIPING
PHONE= 509 928 0960
QUANTITY FEE AMOUNT
Y 15.00
6.50
9.00
2 1.00
###xaiE#'rtxn#x..x.#.a.#.u..>tn'####aitnnx### PAYMENT SUMMARY +u##n####un*x#x**g x###tt###
PAYMENT DATE
04/16/07
TOTAL DUE=
PEERMIT TYPE FEE.
MECHANICAL PRMT
PROCESSED DY: WENDEL, GLORIA
RECEIPT:
1326
.00 TOTAL_ PAID
OUNT
31.50
31.50
PAYMENT AMOUNT
31.50
31.50
AMOUNT PAID AMOLJNt OWING
31.50 .00
31.50
00
##1F#####1F#'iFk#k###xlF####x14###x#rtlt TI-LANL( YOU #'#"rtiFx3ffF#M###-1P########1F##iF#k iF
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PROJECT FINAL
MISC
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RELOC
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