1991, 10-04 Permit: 91006515 Gas Log, 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 stat 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 `0 [�
OWNER OR AGENT /421 DATE
PROJECT NUMBER= 91006515 ISSUED PERMIT DATE== 10/04/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11012 E i 7TH AVE PARCELO= 28542--4002
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS LOG & PIPING
PLATO= 001857 PLAT NAME= OPPORTUNITY SUBURBS
BLOCK= 2 LOT= 2 ZONE= UNCL DIST:= F
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 140 R/W=::
4 OF BLDGS= 0 DWELLINGS= i WATER DIST =
OWNER= ROCKSTROM, PAT PHONE= 509 926 6847
STREET= 11012 E 17TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A-i GAS SERVICE PHONE NUMBER= 509 922 3704
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A-1 GAS SERVICE & REPAIR PHONE= 509 922 3704
STREET= 511 N FARR RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS PIPING i 1 .00
GAS LOG i 10.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
10/04/91 7326 36.00
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
MECHANICAL PRMT 3600 36,00 .00
36.00 36.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
******************************** THANK YOU *********** *********************
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• ' — 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 APPLICATION
OWNER OR AGENT DATE
E'ROjE CT NUMBER=::: 91 r065t5 ISSUED PERMIT DATE•: 10/08/91 PAGE= 01
..... �•C , 7 I, P-
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SITE E ST ET:::: `'
11012 E. 17TH A��E PARCEL:N:::= 28542-4002
ADDRESS=S:::: SPOKANE WA 99206
PERMIT USE=:: GAS LOG & PIPING
E't...ATm:=: 001857 PLAT NAME= OPPORTUNITY SUBURBS
S
BLOCK= LOT= `' TONE= UNi::t... 0I T4 =
H EvA = 00000000 F!A = FWIDTH= ctDEPTH= 1 0 E : z=
4 }tyyty:1= flDWELLINGS= WATER DIST
=::
OWNER= Etfif.:ts •TE?OM; PAT F'E'Ir:INE:::::: 509 926 6847
STREET=T= 1101 ' t= 17TH AVE
ADDRESS= SPOKANE WA 99206
NSERVICE PHONE NUMBER= 509 ,y..'.::.'. 3704
CONTACT NAME= A-1GAS
B'.J:.t...D:ENGY SETBACKS : FRONT:::: NA L.E_FT:::: NA RIGHT:::: NA REAR:::: NA
•!t•**b.•'R 9{•3l•)k$.•p:1l•Fl•*ii•}!•ik P:R•fl$.••U:)l•**M•ll•91•P•P:7l)t• MECHANICAL PG.. :Y!.. * x.......:*** '.................{•)C•
CONTRACTOR= A-1GAS SERVICE & REPAIR PHONE= '-^ ' :' 3704
STREET= 5 1 1 i't !»F•?Et:Et: RD
ADDRESS:` SPOKANE WA 99206
ITEM DESCRIPTION € UANTI: r ' FEE:: AMOUNT
----------
PROCESSING_ i::' 25 . 00
GAS FEE T ._
IPING 1 1 .00
GAS LOG 1 10.00
N) * t*.*) ) ) ) ) H) *) ) ik 3f) 3) ) HaNk*) } PAYMENT SUMMARY n* t**
*) ) E k) ) *] G) *) ) ***#*k**r
PAYMENT DATE RE:.!_:E.t.E' f 'x• PAYMENT AMOUNT
10/04/91 .'. :: fi`r 36.00
10/04/91 !3 . 36,00-
10/08/91
00_..10/08/91 i'xfO 36.00
TOTAL. DUE:::: .00 TOTAL PAID:::: 36.00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 36.00 00 36..00 .00
36.00 ?6:00 ,00
PROCESSED BY : JULIE r'SHATTO
PRINTED DY : ,JUt...IE:. :\t"tA t"t O
n'n:•it•ae•n:•n:•,t•)e)t•**•x)e*tt*•h••ii•ii•R x•*ri*k*)i•u••ir*** THANK T .i h:*a is it a••a:•bi*h;•1,:#•,i•h:)t•*****it••,a•n•*n ii)i.p:.;t..ii•x••ae•n•