1987, 11-23 Permit: 87004016 Piping wk+a
SPOKANE-COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained 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 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 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 he visions of a to or I cal laws regulating construction.
SIGNATURE OF /pr APPLICATION 11 j/f it
OWNER OR AGENT C,�1.airi rJ DATE /� 7
PROJECT NUMBER- 870040i6 1;41IF:iii... .13/27 PAGE= 01
PERmli
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SITE E ,»•- { REi:»{ ._: 12506 e::. 13TH i'f V i::. P•C.a('l`•....:.i....11..... 22543-1226
ADDRESS= SPOKANE W A 99216
PERMIT t.)=.:E= GAS S I.. .!.- .3.1`'!..:•
PLATt- 001345 PLAT NAME= jOR6ENS ADD
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AREA= 00016000 l..: i.:€:::: F WIDTH= DEPTH= ! •.
.13. OF "i t .i.,:..,., .Il. DWELLINGS-
OWNER= CLIFTON, DONALD PHONE=
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ADDRESS= L:-'i•'!„ F ANE WA 99216:; 1t..
CONTACT NAME= OWNER PHONE NUMBER=
BUILDING SETBACKS : FRONT= LEFT= RIGHT= REAR=
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CONTRACTOR= BANNER
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COMPANY PHONE= 509 535 1711
STREET= P„0„ BOA, 4346
ADDRESS- • ..OKANE WA 99202
ITEM ,Ea _ RIP ! ION QUANTITY " . . AMOUNT
•
PROCESSING FEE Y` 15,00
GAS PIPING 1 „50
MINIMUM. Mt!?; :t..,... ADJUSTMENT .y; ;t •-0
33 33 ..
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PAYMENT DATE REL:EIC' I •!r PAYMENT AMOUNT
•
TOTAL DUE- J» TOTAL PAID= 20,00
PERMIT TYPE F I::E AMOUNT YMOUNi PAID AMOUNT OWING
MECHANICAL PRNT 20,00 20,00 ,00
20,00 n}.:':. } ,00
PROCESSED : . , GLORIA
PRINTED o Y : a "_ E ! , GLORIA
n knkk : e r t} n } * . ;i ! i hi : tjik ; :; fc THANK you : h : k h*"i i tti { } f :aL i f : ii* kidn }
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PROJECT FINAL MISC SIGN RELOC DEMO •
MOBILE MECH PLBM BLDG t7
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