1991, 11-08 Permit: 91007717 Insert, 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction / /—
SIGNATURE OF / /�/k 4 J `i(�l� APPLICATION //f—
OWNER
OWNER OR AGENT l�[- v � DATE 0/
p:{•,•`t.i-..?±:::.e. { NUMBER= 91007717 ISSUED ER."I»i DATE= 11 /08/91 PAGE= /t
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SITE STREET= 10931 E 21ST AVE PARCEL'::: 28542-2710
ADDRESS= ,'Pt;;,>f;,N,.- WA 99206
PERMIT USE= INSTALL , ♦:; FIREPLACE ... PIPING
PLATO=
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BLOCK=
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AREA= 0 00:- ! l±` 'r t� t•
WIDTH=
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PHONE=
OWNER= t ? IlH ? W
AYE
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CONTACT NAME= LAYRITE TE::
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PRODUCTS PHONE NE NE. ME E t: :: •t '9 536 8361
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
:±j..;,;:±$!j••f:••a:Ji Ni•Pi:!r'1±i•!!r 3!i'Jt}{••ij:9±i•ll•3t•'/k•'Ai}±j}±i'}±i')?':±i 9!i !:••i±:fi;* Ni C:.{_:„..C,!..�F9 N I r..:f-!L PERMIT •i!;iu'r:!• ±i*.'tE fi;;d•9±'a:i4 i!±i '.3i• +i•i!i***'i!i'a:•3±;i±i*:u:i±±r
CONTRACTOR= I...A i'=I i t::. PRODUCTS i PHONE= 509 536 8361
STREET= 1 .r' '5 ETRENT RENT AVE
f:;{`S's:SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY ?••{•;{••, AMOUNT
PROCESSING i.NG 1'i::.is:.
SAS LOG 10,00
n ±:, ± ±._ ±..,±.h 1-.1±.)t It 1•.1i 1.1:3±..?j.*.k±..j±.**!`:y`n:r I'`iJ:i !r hi{::.I`R 1 {•,{2"(i't A •!;•)t'*jj"}!:•fl•9t'i?'•'}?•?±i•Fh t!.•3±i i±!r i±i.*.Ti'li'9t?•7`r?7•;t•;[•ii•fj:i±j-*
PAYMENT DATE Ri:.CE.I.i a "'.' PAYMENT E:N AMOUNT
11 /08/91 853 ... ..j."ti
TOTAL{ (-?I... 1,1{i1'•:::: f}t;t TOTAL :-A {.{•j= 36.00
PERMIT ! T ± E FEE AMOUNT AMOUNT PAID AMOUNT i,i?,:{1.?.t:r
i'ii::.i.:I"iANt.:AI... .RMT 36..00 36.0 0 ..00
36.00
h;.00 :.A !;0 .00
PROCESSED B i : :.?i.?t i-'? i...i"?R S .!N`•t
PRINTED J Y : jOHN L,R s O N
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