1991, 08-19 Permit: 91005136 Mechanical Fixtures 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 provisio s 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 a d 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 loca w gulating construction,or as a warranty of conformance with the rovisions of any state or local
laws regulating construction.
SIGNATURE OF (/ + a APPLICATION 9 Q(
OWNER OR AGENT r /�/`-��, DATE
PROJECT
FOErT N {'BE"_ 91005136 r rrC
_, PERMIT tk . = 08/19/91 PAGE= 01
: t: : t a: *. : s : [: Jt ) : J ; :3 :t PERMIT IJ: "m- : : , ; 6 a :, * c*t :9 ; r: *) : {a `9t: }
9 ) ) JJF
SITE STREET= i22ND AVE PARCEL4= 2/,'=;41 -7201
ADDRESS= tt;•-i'{f"l'i` F WA 9037
PERMIT USE= GAS PIPING & GAS SPACE HEATER
PLATO= 003136 PLAT NAME= VERA f.:FC > ?
BLOCK= 4000
0 i i t t -1000 ZONE== 2-Ft.{....:y _t ..
AREA= F WIDTH= 80 DEPTH= 1300 R/W= 50
4 BLDG,. DWELLING = l WATER DIE ? ....
OWNER= BROWN, ..ED PHONE=
STREET= 15020 E 22ND AVE
ADDRES= VERADALE WA 99037
'" "•'- ""'•CT NAME= NATIONAL CHIMNEY, SERVICEPHONE NUMBER= .1:19 922 2000
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IKl t T._...•.; } t•:?C:r :::?:: ! is{-i C.:?`':::: FRONT= N{•'•} LEFT= NA RIGHT— NREAR= NA
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C..C,iN ? `!-:AC.: t i,t?'i:::: N{• t ?,.,iNAi CHIMNEY SERVICE C.:E t.:Ht. ?•it?::= .709 326 ..._t8
ADDRESS= SPOKANE WA 99201
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 25,00
,.-r n:, r.:.r
G A i.: H i ? ?::.t. U!.! 1 ;:i t-1 1 t:i 0 t:1 'i i.,3
GASPIPING2.. :1!�%
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/19/9i 5811 :'}` .j:}{:i
TOTAL }t.;?::.:::: „00 TOTAL ?"•t"!.?...1= 39.00
AMOUNT PERMIT TYPE AMOUNT ,,N ' •i1 AMOUNT fYV OWING
i`41_.
MECHANICAL PRM ? 39,00 39,00
0 ..}•Ji('i
PROCESSED BY : FORRY, jEFF
PRINTED BY : FORRY, jEFF
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