1991, 09-16 Permit: 91005878 Furnace, 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
I
PROJECT NUMBER= 91005878 .i. ';'t,il::.D PERMIT S.t r'1 T E,':: t,,}'ry!/16/91 t-'r:t tx i':.== 0
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SITE STREET= -, 52';:': F 19TH AVE F A,1.1--::"I .... 20541 -0601
ADDRESS= SPOKANE WA 99206 I
PERMIT USE= GA,; FURNACE & PIPING I
PLATO=t yi:= L.}?,}• :1 PLAT
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BLOCK=ti.;t,= ,_: LOT=, + .... 't LUNL= t. t.,....,:! ,l ;' F
AREA= 00013000 %{':#:::: F WIDTH= t}j .-`f i••i . ..'i,i
n
i`f'• t•i i ( .•. ..^.• i WATER DIST
OWNER= GIRTZ, MICHAEL PHONE= 509 926 0797
STREET= 12220
-!•• `0 E 19TH G t L`E
ADDRESS= SPOKANE WA 99206
NAME= MIKE CONTACT ?'�t r3±.1::.-•-• ;+_.?':?::. ::r...i'°: { . PHONE NUMBER= r:=l:}'.% 926 0797
BUILDING SETBACKS : FRONT= ?•,;;•:; LEFT= t-a f•:; RIGHT= NA REAR= NA
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' CONTRACTOR= OWNER PHONE= 1
. ITEM DESCRIPTION QUANTITY FEE AMOUNT 1
PROCESSING FEE 25,00
GAS HTG .. ,-i , +.++., .;i'+': BTU i '!
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PAYMENT DATE
R;...C•i::.J.PTO PAYMENT AMOUNT
09/16/91 6544 41 ,00
TOTAL DUE= 00 TOTAL PAID=
... •. ' i J:'}
PERMIT TYPE hr-.:' AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL.. ;k,M f 41 .00 -3 .. .. .. ,00
41 ,00 41 ,00 „00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : I4 r' '1 EGLORIA
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