1992, 12-07 Permit: 92010727 Gas Log, Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHI IRGTON 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 c cel 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 constructio .
SIGNATURE O (1 eitCLANALQQ.1\ DATE APPLICATION I
OWNER OR AGENT CAA
PROJECT NUMBER= 92010727 ISSUED PERMIT DATE= 12/07/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 5517 E 15TH AVE PARCEL= 35234.. i006
ADDRESS= SPOKANE WA 99212
PERMIT USE= GAS LOG & PIPING
PLATT= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DIST*=
AREA= F/A= F WIDTH= 106 DEPTH= 133 ER/W=
T OF BLDGS= * DWELLINGS= i WATER DIST =
OWNER= BALDERSON MIKE PHONE= 509 534 6123
STREET= 5517 E 15TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= A- I GAS SERVICE PHONE NUMBER= 509 326 6215
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A-1 GAS SERVICE & REPAIR PHONE= 509 922 3704
STREET= 924 W KNOX ST
ADDRESS= SPOKANE WA 99205
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS PIPING i 1 .00
GAS LOG i 10.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
12/07/92 1026 36.00
----- _ ~
TOTAL DUDE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 36.00 36.00 .00
36.00 36,00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************