1991, 12-18 Permit: 91008707 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 APPLICATION /e//s7
el/S / 9/
OWNER OR AGENT ���
PROJECT j ' ro9ic)(;)R707 ISsuFD PERMIT DATE= 12/18/91. . 01
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1 ,J111 17, PARCELO= 27541 -2220
ADDRESS= ....'t.OKA#'-+#`. ..A 99'216
PERMIT i -#t:yl::.- t.Y(..4, LOG .... PIPING
OPPORTUNITYPLATT.,= 001846 PLAT NAME=
BLOCK= 7 ZONE= UR-3.5 DIETO=
AREA=::
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-,•.: V ANDREW t LINDA HO i 928 9517
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WA
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ADDRESS= SPOKANE ,
A 99216
CONTACT NAME= SCOTT G.I.LY'AN PHONE NUMBER= 509 922 2000
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BUILDING t D tSETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= ' f •NATIONAL CHIMNEY : I :5Lt _ PHONE= 509 22 2000
.
STREET= 7a1A E BROADWAY AVE
ADDRESS= SPOKANE WA 99201
ITEM DESCRIPTION QUANTITY I.:i.:l.. AMOUNT
PROCESSING FEE
GAS PIPING 1 ,00
GAS 1..;,{.•r 10.00
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PAYMENT DA E t"•:t::.t.:I::. .#.: I O PAYMENT AMOUNT
I 2.-•# i... . . `+!:?:"r j :36r.00
................................................
I i.: s't::#i... Dt.i l::.:::: .00 TOTAL t i•:!# #•'6:{ t :::: 36.00
PERMIT
"' " } ' ! f! Iivi uN-#: AMOUNT PA ! ? l"Oi # OWING
MECHANICAL PRM i 36.00 36:.00 ;.•,;.:
36,00 36.00 .00
PROCESSED:•SI::.z% 3.:tY : .IEt'4Di I._! GLORIA
PRINTED t i Y : W E i I E.. GLORIA
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