1990, 02-01 Permit: 90000393 Furnace, Piping SPOKANE COUNTY DEP ENT OF BUILDING AND SAFETY
W. 13C tDWAY AVENUE
SPOKA, 3HINGTON 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
PROJECT NUMBER= 90000393tiED04Rif?° PAGE== 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13310 F 22ND AVE PARCELO= 27541 -2325
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS FURNACE & PIPING
PLATO= 001846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= 3 LOT= 2 ZONE= AGSUB DIST4= F
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 136 R/W==
OF BLDGS= * DWELLINGS= 1
OWNER= MARTIN ROBERT PHONE= 509 928 2100
STREET= 13310 F 22ND AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ED MERTENS -• A & M PHONE NUMBER= 509 928 2100
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A & M QUALITY HTG & ELEC INC PHONE= 509 928 2100
STREET= 12710 E. INDIANA AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS HTG EQUIPC400,000}BTU i 42.00 2.00
GAS PIPING 2
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
02/01 /90 5ii 39,00
------------
M._
TOTAL DUE= .00 TOTAL. PAID== 39.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
ME(:'.HANICAI... PRMT �.-..__-._..__._.- _
39.00 ......_...__ 39.00 -.-'____..___._....-.00
_.._..__-____.-39.00- �'"___......_-_- ___ --
39.00 _...__......_-.-
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
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