1991, 08-22 Permit: 91005200 Furnace, Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
Se��KANE.WASH|N��TC�NSS26U
- (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 Comm 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
PROJECT NUMBER= 91005200 ISSUED PERMIT DATE= 08/22/9i PAGE= Oi
************ *************** PERMIT INFORMATION ****************************
SITE STREET= 9807 E 9TH AVE PARCELO= 20543-1402
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE & PIPING
PLATO- 002367 PLAT NAME= SHERWOOD FOREST (WHISPERING PI
BLOCK= 4 LOT= 2 ZONE= UR 3.5 DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST =
OWNER= FOGG, ROBERT PHONE= 509 924 9510
STREET= 9807 E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ROBERT FOGG PHONE NUMBER= 509 924 9510
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= SEARS PHONE= 509 489 1170
STREET= P O BOX 3707
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----,------
PRnCESSING FEE
GAJ HTG EoUIP< iOO, OOO>BTU i
12.00
GAS PIPING i 1 ,.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/22/91 5903 38.00
TOTAL DUE=DUE= .00 TOTAL PAID= 38.O0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------- ------------- ------------ -----------
MECHANICAL PRMT 38,n0 38.00 .00
------------- ------------
38,.00
PROCESSED
38.00 . 00
PROCE%%ED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
******************************** THANK YOU *********************************
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