1992, 09-11 Permit: 92007484 Water Heater 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 , �'�� . . -.01U11. DATE
PROJECT NUMBER= 92007484 ;4.i.?I:• F1 PERMIT 1,! .:,7••i{:.t "• +:!'!
Ci ) N1 N*1 *1 * t N****yti: 3 ) *tty J * :i ;M. " INFORMATION •:.......**Jr 9?'9C'J:'Jr J?'**ii ii•:+i-if-•1?-*•1r s,•:+e-*.1.:3;..,+:
SITE STREET= ..?9 i. s E { { , N AVE +.:AR.t.:t::..-:ii'--' 35243„ 0059
ADDRESS=., ,S= i.i!-'t.?t:r,:'!{'I::. WA 99212
PERMIT USE= I„"(•`•'!l4 WATER t::.F. IiE:.A t E:.R
!"
AT:ii:.. of) '! i PLAT NAME= B1: t i•MAN ' i ADD .
BLOCK= LOT= 1
f`iF°°I`:fl:::: I::,•f"t:::: F ,,i:[Di!I:::: :ji=; #i"I:: i,_ ,.1::::
OWNER= SHAH,, N I5`5f.R H, PHO!NE:::: 509 534 7839
STREET=i:::E::T= j,,1I::• i •j -I•I..I AVE
ADDRESS= SPOKANE WA 99212
CONTACT N« EN, : rF ; = " "itNE NUMBER= 509 534 7039
BUILDING SETBACKS : FRONT= ;''3:'f`, !...i::.i ! -:: N/A RIGHT= N/A REAR:::: N/A
PiAfirii 4 PNHe k k 4 X 4RAPk UC {P ( {Ft* e iMECHANICAL p :r ;? . t G NHNl 1 k i Y { {ii9k AuRt k*FRPh1
CONTRACTOR= OWNER PHONE::::
ITEM DI ,,RIFTIlN QUANTITY
+f , TI ( ' ! IL
AMOUNT
PROCESSING FEE ,)Kr 0 0
GAS WATER HEATER i 10„00
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P'i•.i'f .'.E::!'. I•
PAYMENT DATE Rt::.+..:E.I i.: { ,v- PAYMENT AMOUNT,
09/11 /92 7585 ...... ..':?0
................................................
! OIAL. DUE= :.00 TOTAL PAID:::: 35,00
PERMIT TYPE I"EE:. AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL A-+L I'`R.M I 35,00 :1Y:5 . 00
35,00 35 .00 „00
PROCESSED ?:5 Y : DOM.!. ! R t.?•u.I.C I-i ROBIN
y
PRINTED BY : DOMITROv.!.t.:H . ROBIN
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