1989, 10-18 Permit: 89004146 Mechanical Fixtures •
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information cont`Tned in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMET /N 'CE 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 s11 a ied herein or not.I understand that the issuance of this permit 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:itate or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
i.:i..'i i j v � NUMBER= 39004146
.}i i , D .. 10/18/89 1-•A+..F... 01
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,E STREET=
12125 :T: AVE
s? a .. 21544-0500
ADDRESS= SPOKANE WA 99204
PERMIT USE= GAS FURNACE, PIPING , &
PLATO= 001839 PLAT NAME= t.i P i..• . i I"•: :. 1 -354
BLOCK= LOT=:::: ?O1",IF :: '"`r:'3:;' DIST4=
00012600 f - , WIDTH= i Y 2 DEPTH= 90 / ::
OFr:
OWNER= AGSEBY, RALPH .? ?..LatiNi-'... ..!+:?.F 924 7241
STREET= 1212':'; F 12TH AVE
ADDRESS= SPOKANE WA 99206
i...:....sTACT .. . .. K... PHONE NUMBER= ,...„:.y 4000
BUILDING r:'i..ltFlLk : FRONT=:: j'.44 LEFT,--- ,:i;::! RIGHT= NA REAR= NA
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CONTRACTOR=
tN. tt : ts : . T OF SPOKANE PHONE=
Pf3I : t1; 467 'i :k
ADDRESS= SPOKANE i,:t!i 99208
ITEM .)I:.:,s€::4';..i`...:.1:.1i”. QUANTITY i.. ::.::. A MOU N
PROCESSING FEE 25.00
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tr.i F'1,: I"! ! is i::.i.x,i..J.�.?' '�. I .: :3: ,),f,1 }:� t i..! i 12 .00
c; tt,:r 1 .i.r' .i.N c; 4 4 ..is f 0
HEAT PUMP ,.i—:c TONE i 12.00
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PAYMENT DATE - PAYMENT AMOUNT
10/18/89
,..1 .,. ,.89 5,: 34 Sly:: :.00
................................................
TOTAL Dl...E:::: ,00 1 ..1 I AL PAID= .:}•.'t,.00
PERMIT TYPE 1...::.::. AMOUNT AMOUNT PAID Ai''ji•.li,,!NT OWING
MECHANICAL
till 53.00 �. _ J .00 J
53, 00 53 ,00 ,00
PROCESSED x: : JULIE
SHATTO
PRINTED{ i' t•, ` • JULIE
i... 1:, ..t..
: :3: :! : , :,:i.::.it•..: t : P : p :!at : .fl.ft .11 , THANK , i
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