1992, 12-15 Permit: 92010943 Mechanical Fixtures SPOKANE COUNTY DEP""RTMENT OF BUILDING AND SAFETY
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
VOID
PROjECT NUMBER= 92010943 ISSUED PERMIT DATE= 12/15/92 PAGE= 01
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SITE STREET= 11310 E 23RD AVE PARCEL4= 45202, 1C17
ADDRESS= SPOKANE WA `?'':r...... ...
PERMIT USE= HEATING EQUIPMENT & GAS LOG ( 2 )
PLAT4= !;:ij ll'i0!:1!'.1 PLAT NAMf:.:.. UNKNOWN
WIDTH=AREA= 00000000 F/A= F
:j!' 1,,.. r'"i 1!:.r = 1 ie DWELLINGS= 1 WATER R D...... ....
OWNER= CLARK , RONALD PHONE= 509 926 2901
STREET= 11310 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A-1 GAS SERVICE PHONE NUMBER= 509 126 6215
BUILDING SETBACKS : F.'.{.tI ? N/A LEFT= N/A RIGHT= . .. f'j REAR= ..
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EPAIR PHONE= 5f.:) 126
CONTRACTOR= f.j' GAS SERVICE ... S"-
STREET= 924 W KNOX
ADDRESS= SPOKANE WA 91205
ITEM DESCNIPiiUN QUANTITY FEE AMOUNT
PROCESSING FEE
GAS LOG 20 ,00
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PAYMENT , RECEIPT,,, PAYMENT
12/15/92
1244 45 ,00
TOTALTOTAL DUE= ,00
PAID= 45 ,00
PERMIT ••;•../., ..••i::. AMOUNT AMOUNT i . . .IZ.1 AMOUNT
OWING
MECHANICAL PRMT 45 ,00 45 , 00 , 00
45 , 00 .. .. .. 1
PRINTED BY : DOMITROVICH , ROBIN
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