1991, 12-26 Permit: 91008788 Gas Log, Piping 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.
SIGNATURE OF
OWNER OR GENT DATEICATION /2-26 --g/
VOID
PROJECT NUMBER= 91008788 ISSUED PERMIT DATE= 12/26/91 PAGE= 01
**************************** PERMIT INFORMATION **•********•******•***•*********
SITE STREET= 10311 E 15TH AVE PARCEL= 20544-3150
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS LOG - PIPING
PLATY= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= LOT= ZONE= UR--3.5 DIST= E:
AREA= F/A= F WIDTH= 87 DEPTH= 150 R/W= 60
4 OF BLDGS= 4 DWELLINGS= i WATER DIST =
OWNER= ROUSE, JOHN P PHONE=
STREET= 1 031 1 E 15TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JOHN JOHNSON PHONE NUMBER= 509 922 3704
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT *****************•*********
CONTRACTOR= A--1 GAS SERVICE & REPAIR PHONE= 509 922 3704
STREET= 511 N FARR RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 2.5.00
GAS PIPING i 1 .00
GAS LOG i 10.00
***•**************************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/26/91 9665 36.00
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 36.00 36.00 x00
36.00 36.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
******************************** THANK YOU *********************************