1991, 11-15 Permit: 91007874 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= 91007874 ISSUED PERMIT DATE== i i r i '.;l9 f PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE. STREET= 12920 E 25TH AVE PARCEL..: = 27543-0309
ADDRESS:=: SPOKANE WA 99216
PERMIT USE= GAS LOG & PIPING
PLAT;:= 001223 PLAT NAME=:. HILLCREST ACRES 2ND ADD
BLOCK= 6 LOT= 9 ZONE= AGSUB DIST.= F'
AREA= F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS- 1 w DWELLINGS= i WATER DIST =.
OWNER= FORRESTERMERWYN PHONE= 509 924 9914
STREET= 42920 E 2!/5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ANDERSON ' S SHEET METAL. PHONE NUMBER=: 509 928 0960
BUILDING SETBACKS : FRONT N/A LEFT= N/A RIGHT N/A REAR= N/A
******************************* MECHANICAL PERMIT ;i**•***********************
CONTRACTOR= ANDERSON' S SHEET METAL PHONE= 509 928 0960
STREET= 13903 E TRENT AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
PROCESSING FEE Y i 25.00
GAS PIPING t
GAS LOG 1 10.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11 /15/91 8712 36.00
--
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT _- _-- 36.00 36.00 .00
___
36.00 _---_. _
36.00 _.___..__.__-_.00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************