1991, 11-21 Permit: 91008072 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 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= 91008072 ISSUED PERMIT DATE= 11 / .. .`.t PAGE= 01
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25TH AVE PARCEL4= 27543-0213
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! 99216 t
PLATO= r: ! : : PLAT �NAME=� 4, { . < i It " 2N
ADD
LOT—
AREA=
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's!' OF BLDG....... t •!!• DWELLINGS= .: WATER DIET ....
OWNER= D t t"}•: } •':<' i t•3 F= i•• PHONE= 509 927 8565
ETREET= 12911 E 25TH AVE
AD i!pi':..`.:.. '• SPOKANE WA 99216
CONTACT i :r'tt • NATIONAL CHIMNEY EERVICE PHi,+ •%_.. UMBE. • 509 922 2000
BUILDING :: ? s — :' : N/A LEFT= ' ( RIGHT=x . . `iREAR=- : N/A
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CONTRACTOR= NATIONAL CHIMNEY SERVICE PHONE= 509326
ADDRESS= ,;.. _!I:I•t l'I: t,41.:i 99201
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ITEM DESCRIPTION... ...N Q}iAN 1. FEE AMOUNT
PROCEEEING FEE 25. 00
GAS PIPING
1 .00
GAS LOG 10,00
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PAYMENT_`. Y,.:!^=•i; :'C j '.!s. PAYMENT AMOUNT
11 /21 /9i .- .. .. ..
................................................
TOTAL ,,,,,..= !-J+'i TOTAL t IY ! } ti:::: .'Si't
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 36,00 36,00 . 00
36.00 36.00 .00
PROCES
ED BY : DOMITROVICH, ROBIN
PRINTED' ... .. - .!}. ?'l.1. . F:C)\/I}.."i• ROBIN
) ) : ; r. : *t * fi ;: r : : , , 4. : . : . * K . ** THANK {tu *PJt. I ¢* {PPtt: t:1:... t***iy:1 :* tP :P*s 1