1991, 11-19 Permit: 91007963 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
NIC)11°
P r4 f.!..!I::.t.: ? NUMBER= 9"1iD:? ;96,h ISSUED PERMIT DATE= •I1 ; i ,!9't PAGE= r:•1
7 9 (PAIHk h APlt PP4 R*h A! tA***3 * PERMIT . NJ r (
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SITE STREET= I1705 E 16TH AVE PARCELO=
21544-1940
ADDRESS= SPOKANE WA 99206
PERMIT USE= HEATING EQUIPMENT i & PIPING
E`i...r";-('4= 001839 PLAT A NAME= ij F`i`.,"i'F<.. 1 -354
BLOCK= LOT:_: 16 ZONE= UNK DI S 1 =
AREA= 0000000('i E::/A= F W D j'r.I= DDEPTH= ?.i'!x_::
n. OF BLDGS:::: :e: DWELLINGS= WATER DIST ::::
OWNER= KERWICI< , RAY PHONE=
ONE=::
STREET= 11709 E 16TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT iiiAi1E:=: AIRE: +;F•;i...I...i:::Y HEATING; PHONE NUMBER== 5.09 924 0018
BUILDING SETBACKS : FRONT:::: N/A L..EFT::= N/A RIGHT= N/A REAR= N/A
Pk*) $* k {AiPRFFk*} NR Fk fiP ** (NiPP4 "Ett " i NIT H iPERMIT N**Pt 4 iP**P9 } i *Pk PN } Pl iPik
CONTRACTOR= AIRE aAI...I...iI.Y HEATING & COOLING tr F`t";O I=._: 509 : C..,''a
STREET= r..., 1 N ILL..A RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
T
PROCESSING FEE 25 .00
GAS i"i T i. i::.QU.II` 1 til?, O4"D.)`'t:;TU 1 12.00
GAS PIPING I 1 af;l->
3333 xr*bri r ~r*x 3 3 l *ln nr*ial -FY" : v SUMMARY ***** A* R** *K *R9 *nf4 ! R) R
PAYMENT DATE RECE:IF`T n: PAYMENT AMOUNT
11 /19/91 8 !t'0 38.00
TOTAL. DUE= .00 TOTAL PAID= 38:.00
PERMIT TYPE: FEE:: AMOUNT AMOUNT PAID AMOUNT OWING;
MECHANIC;AL.. PRMT 38.00 38:.00 ..00
38.00 38.00 ..00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOM I TR:OVI CH, ROBIN
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