1992, 10-05 Permit: 92008410 Mechanical Fixtures^ '
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1300BROADWAY AVENUE
SPOKANE, WASHINGTON gq260
(509) 456-3675
1 certify that I have exam inedth is permit/app I ication, state that the irrformationocontained in it and submitted bpmoomy agent 000mvxom^mpermit/app x cation is true
and correct, and authorize Spokane County to proceed with procening. In addlon, / ham mad 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 onAGENT DATE
FROJECT NUMBER= 92008410 ISSUED PERMIT DATE= iO/05/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12216 E 0%T AVE PARCELO= 45281.0728
ADDRESS= SPOKANE WA 99206
PERMIT USE= (2)GAS WALL HEATER, PIPING
PLATO= 00020 PLAT NAME= HILLC PARK ADD
B K= 7= 3 ZONE= UR— .5 DI%TO= F
AREA= F/A= F WIDTH= 92 DEPTH= i70 R/W=
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= ELLIS, UNKNOWN PHONE= 509 927 3099
STREET= i22i6 E 21%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= NATIONAL CHIMNEY SERVICE — TOM PHONE NUMBER= 509 922 2000
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= NATIONAL CHIMNEY SERVICE PHONE= 509 922 2000
STREET= 7816 E BROADWAY AVE
ADDRESS= SPOKANE WA 99201
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ------------
PROCESSING FEE Y 25.0O
GAS HTG EQUIP<iOO,OOO>BTU 2 24.0�
GAS PIPING 2 2.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4;: PAYMENT AMOUNT
iO/05/92 856O 5i.00
------------
TOTAL DUE= .GO TOTAL PAID= 5i.��
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
MECHANICAL PRMT PRMT 5i.00 5i.0O .00
------------- ------------ -------------
51.00 0.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
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