1991, 08-22 Permit: 91005246 Gas Log, Piping 41111
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
:is O.? : i NUMBER= 91 005246 ISSUED F: ...5..:± f, i DATF= 08/22/91 PAGE= 1
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SITE STREET= 5925 E 17TH AVE PARCELO=
—0601
ADDRESS= SPOKANE WA 9921 .:� ...
PERMIT USE= GAS LOG & PIPING
PLATO= % ?A7h ; PLAT NAME=
tM_= a ? «± ± „ VIEW A t D
BLOcK= LOT= ZONE= UR-3.5 DISTO=
DEPTH=f ?;?j'::.i' t-/A= �: WIDTH= fY is i,,,::::
' 1fF BL..OGas«- 'i 4 DWELLINGS= I WATER ER DI;i-±• .•_
OWNER= B : H, BERTHA PHONE= 5 : 534 1881
5925 r.:' d
7TH AVE
ADDRESS= F' .;l;ANE WA 99212
CONTACT vFt : R ; S , . PHM-4E. NUMTE! = 509 535
'4 `1 'S
B DING : : ? i1t . : FRONT= NA E [ ± . NAI " - : NA REAR= VA
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CONTRACTOR= BANNER FURNACE & FUEL CO INC ;.:}••il„1{'V1::._- 509 535 '± i 1
STREET= P 0 BOX 4346
ADDRESS= SPOKANE WA 99202
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING} FEE .{ _.«.25.,00
GAS
ING 1 .00
GAS LOG 1 10.00
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,:M i_.N.T. BATE RECETPTO PAYMENT AMOUNT
• 08/22/91 5959 36.00
TOTAL .r1,t1::.= .00 TOTAL! g•ti,_ i.:f. It1:::: 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL fi'?,,M 7 36.00 36.00 .00
;)t•, 36 .00 .00
PROC :;SES'; _`' : WEN ,EI._.. GLORIAPRINTED I `{' : WEyI)EL, GLORIA
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