1991, 12-26 Permit: 91008789 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 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.
i7;;A75
SIGNATURE OF A ^ DATECATION /2 2 -9/
OWNER OR AGENT
PROJECT NUMBER::: 91008789?9 ISSUED PERMIT DATE= 12/26/91 PAGE= 01
**•* ************######*3.*### PERMIT INF ORMAT:[ON ######*.*.t ;;•*•###########*****
SITE STREET= 5921 E 19TH AVE PARCEL:= 25532-1708
ADDRESS= SPOKANE WA 99212
PERMIT USE= GAS FURNACE •- PIPING
PLATO= 002725 PLAT NAME= VALLEY VIEW HILLS 5TH ADD
I:(LOCK-: 1 LOT= 8 ZONE= UR-3. 5 I)I.ST4= F.
AREA= F/A= F WIDTH= DEPTH= R/W::: 50
0 OF BLDGS= 4 I)WEL.L.INGS= i WATER DIST =
OWNER=: MILLER, JACK PHONE::
STREET::: 592i E. i 97 H AVE
ADDRESS::: SPOKANE WA 99212
CONTACT NAME= JOHN JOHNSON PHONE NUMBER= 509 922 3704
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
i+.•.x-•x####################•x•#•x.# •#*# MECHANICAL. PERMIT ##*******##*•#**••H*#-x•x•***• .• -*
CONTRACTOR::: A-1 ( AS SLRV:ECF & REPAIR PHONE= 5()9 92 3•704
STRE:E::T::511 N FARR Rr,
ADDRESS::: SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
— -- —
PROCESSING FEE. Y 2.500
GAS HTG EQUIP<: 100, 00 )>BTI.I 1 12 .00
GAS PIPING i 1 ..00
•p:•ri*# **#***#*#####*#######****# PAYMENT SUMMARY **#**#########**##*ri••x•**###m#
PAYMENT DATE RECEIPTv: PAYMENT AMOUNT
12/26/91 9666 38.00
TOTAL DUE= .00 TOTAL. PAID= 38.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL. PRMT 38,00 38. 00 ,00
38.00 38.00 . 00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL., GLORIA
•ri•h:•*h:•ii•***#####*######•]t•########## THANK i fi *ne*x*****x : '*r *aN*
n; ***x»#A* i#**