1992, 10-13 Permit: 92008816 Mechanical Fixtures r• 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 APPLICATION
OWNER OR AGENT DATE
VOID
PROJECT !.-..,t'i B?::.t,;:::: , ::.,. .: „t 8'? i::= .i.:.;,•t.?C:.i P 4::.'t'i{"I.1.T !_}A ? :' 10/13/92 PAGE= . .i
++r >•:7* &*•Nr'hi:++i P:*••:k*i!:****:* +i**)+i'}k*:k'}+i* FERmIT INFORMATION § >.'*:!!i.n'*.j!..a.**:*'}l-9t''Pr*'ti'**'P******i!!iSITE STREET= 10823 E '}!i'}!•
,
AVE PARCELO= 45213, 1801
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS WATER HEATER/ HEATING EQUIPMENT/ PIPING
PLATO= 000553 PLAT NAME= CROGG ADD.
BLOCK=
OWNER= GRYTNEES, R. W, PHONE= 509 928 1005
STREET= 10823 E 16TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= SEARS / IDEALE NUMBER= 50 C.? 432 5635
BUILDING SETBACKS : FRONT= NA LEFT= NARIGHT= NA REAR= `JA
; t ;. jj ( ( (*. sl i•!...i.{...;.;..:.!(.. tty ; i: j*a K i * tMECHANICAL `: " " ? ? Ti ** t: yj (Ni:! *:**N * **; (Vi **
CONTRACTOR= SEARS PHONE= 509 489 1170
ADDRESS=STREET= P 0 BOX 3707
6: 99220
DESCRIPTIONITEM
QUANTITY i-EL AMOUNT
PROCESSING FEE 25, 00
GAS WATER HEATER 1 10„00
GAS HTG EQUIP< 100, 000>BTU 12,00
GAS PIPING i ,00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/13/92 8940 43,00
TOTAL DUE= ,00 TOTAL PAID= 48,00
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MECHANICAL PRMT 48„00 48,00 ,00
PROCESSED BY : BARRY :::,:v:..., ...,..
PRINfED BY : BARRY HUSFLOEN
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