1990, 07-26 Permit: 90003550 Gas Log, Piping SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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
PRCO,Ji-C•T• NUMBER= 9003550 1jO.rf:='..07/26/90 :
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SITE STREET= i 8; d 21 ST A v E:: I..°: :� ,: 4 ,.
ADDRESS= SPOKANE WA 99204
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PERMIT USE= :f.NSTALi_. GAS LOG & PIF'1:N1„;
Pi._AT;::::: 001393 FLAT NAME= KOKOMO TOWNS:i:'T'E:
BLOCK= 13 LOT= :3 ZONE= AC;,.II T:t DISTO=
DWELLINGS=
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OWNER= Ai._BOINf.:.`•A , BOB PHONE= '709 926 8864
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STREET= SPOKANE
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ADr)FtE:.S�i= ,.JF'O.TKANi::. WA 99204
CONTACT NAME= c;Fi:S SERVICE
TPHONE NUMBER= 5099245888T
BUILDINGSETBACKS : FRONT= NA I...Ei=T=:: NA RIGHT:::: NA RF=Aice' NA
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CONTRACTOR= GAS SERVICE COJ'Pr3N`r. PHONE= ) , 5888
STREET= 610 N COLLINS RD
ADDRESS= SPOKANE WA 99216
ITEM M Di:::SCFSIPTION QUANTITY FEE:: AMOUNT
PROCESSING FEE
00
GAS PIPING 1 ” 1' 0 0
GAS L..O C, i 10.00
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PAYMENT DATE i•1:F:.t.'•EiF''fv:
PAYMENT AMOUNT
07/26/90 4280 36, 00
TOTAL DUE= .00 TOTAL PAID= .., •
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHAN:I:c:AL. PRMT 36.00 36,00 .
36.00 36,00 , 00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSO
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