1992, 11-23 Permit: 92010307 Mechanical Fixtures 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 an . bsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state orlocal law reg • . onstruction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION 1 2 �d
OWNER OR AGENT ��/( Lv C�y(L i DATE 7/at), < J ) /P9.2_
PROAF T NUMBER:::: 92010307 ISSUED t) PERMI i DATE= 1 1 ::•,••" ..?2 PAGE— 01
. . .... .
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SITE STREET= 11713 E 18TH AVE PARI.Ft...:N.::.. 45281 . 1313
ADDRESS= SPOKAN :. WA 99206
PERMIT t. S1-= GAS FURNACE, LOG, & PIPING
'jt...A 1 s:"•:: 001704 PLAT NAME:::: MOUNTAIN 3RD
AREA= 00015000 1 i fi:}s:: F WIDTH= "11 :.i._"E'i..t:::: R/
is OF BLDGE= 9 4 DWELLINGS= WATER DIST ::::
& RANDY PHONE= 509 9`!8 7_•,'y
r:
OWNER= i.i 1...���.?!'?f CATHY S
STREET= 1 •t `1'1 : t.
i 1H t
+ i
ADDRESS= `� F <f }tWA 99206
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CONTACT NAME= CATHY OR RANDY OLSON PHONE NUMBER:::: =:09 921=3 7724
BUILDING DING SETBACKS : FRONT= NA LEFT= NA RIGHT::_ NA REAR= NA
****************************K** 1 t..:.?.:i••1 FA}N 7:C:�}t.. PERMIT u•*N:7i•ri••it••it•*x•*9t•*****•%t ii*******•N;
CONTRACTOR= GREY BEAR. PHONE= 509 624 3727
STREET= .1017 E 38TH AVE
AjDDRE:SS:.. SPOKANE WA 99203
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
GAS Ni'"G i Cyd►..I:i:i�< `i ::%;i, ;:�i:%0 B' i i 12.00
GAS PIPING . „Js l)t1
GAS LOG 1 1 '0', 00
***************************K*** .f 7 P : . ti . ( t i 1 Y k
! t*M ( 1 i} *P11 *9 {* 1ht t P @ { 4A3 *
PAYMENT 1 DATE: REt.:EIP ; O PAYMENT AMOUNT
11 /23/92 545
TOTAL Al.. 1? ..1::.::= ..00 TOTAL PAID:::: 49.00
1`l::.R'.(1l.! .1Y!''E:. E'4:.E:. AMOUNT AMOUNT I !A'!lT.% AMOUNT OWING
MECHANICAL Pt:t="1T 49.00 49.00 .00
49.00 49,00 .00
PROCESSED BY . :.1UL..:E.E : `r'IATi'O
PRINTED BY : JULIE SHATTO
ti•*•** %i***•ii*******•%t*n:•**it•7t•it it•ri***** THANK `t`l..i i„i it M it•n•ni ii•* •*ii ik H•3t•3f•it•p;7e n•ik•u:iii :•it-3i•ii•**is A ii•Yi* •