1992, 08-17 Permit: 92006487 Gas Line Air Test 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
I' („7..J5::.t.: S NUMBER::: 9200 f'.:,487 ISSUED PERMIT DATE=• c3i... 'i 7. 9,# PAGE—
it
*********************4****** PERMIT rF - - "f
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SITE:: STREET=i•::.: 'i0f: 03 F 'i 6TH AVE PARCELO= 45213. 1808
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS LINE: AIR TEST
PLATO=:u::::: 000553 PLAT N!A#!tetI::::: 1.t\Ot.Yi. ADD .
BLOCK= 1 I...CiT-•� 4 ZONE= ;..#?:,.�:.I. .1).E,:} f.N....
AREA= �: ;fA,:::: i= WIDTH=
:: OF BLDGE= r DWELLINGS= 'i WATER ER r ..Et =
OWNER= BAILEY , GERALD PHONE::: 509 921 9609
STREET= 10803 I::: 16TH AVE
ADDRESS=:::: SPOK ANE WA 99206
CONTACT NAME...... HEAT i RAS ,S>•'E:.R INC: PHONE NUMBER= ?09 328 3400
BUILDING
FRONT= N/A f••# I._. t" t :... N/A RIGHT= s d/i.:# REAR= I`°;'t:.
***************************.k*** "E ,"( ` IrfIPERMIT ii4ntn :*N*.axnGiiin3t*i . iti
CONTRACTOR=TRACTOR= FiEA r TRANSFER ER INC PHONE:: 509 328 3400
STREET= 1 008 I'y RUBY r'1
ADDRESS:::, ;Pf.FIC ANE WA 9920:2
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------
PROCESSING FEE:. Y 25:.00
t G A S I...I..S , 't 10.00
• *•i>:ik it 9t•*)k a!•a it*i+:•ii•P•'ik 3{R'it*M 3+i i{•hi)@*i+:•tt•if:it 3i* p r't#Y C'i E:.N.f :s I.J E'i I''1 f•#I':Y ***************************Y:
PAYMENT DATE RECEIPT:: PAYMENT AMOUNT
08/17/92 1 6601 35.00
TOTAL i)i.Jl: :: �•:l0 TOTAL ':''ATT.k::: 35 00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MEC::HAN.I.CfelI_. PRt'%i f 35.00 :35.00 ,.00
35.00
PROCESSED BY :: DOlM:%TR3+u'ION , ROBIN
PRINTED I E:.7) BY : DOiIITROVI:C,I"I, ROBIN
p.:i?'a?'9?••1R•j[SL••1{•??•*)iii'ii''P:9f:§i•1+:N')L'i':•it:•r?•i'+:•er t+:*7x it•i{•§i••x••n: THANK Y s 1 i,J ******K********************t+:�+::• r;+:.f?•