1991, 11-21 Permit: 91008099 Range, 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
f",';!,;._;#::.i-; ! NUMBER= 91008099
•i ;.j;.,;Y{:.:-.;9 ;#i:'i.} PERMIT !`! PAGE= 0
**********************K* *** E1 _ INFORMATION j : k j: P :: ; ftjjr : j*i : jj! * .UF
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SITE : .: ... 12624 E 26TH AVE
BLOCK=ADDRESS= SPOKANE WA 99206
PERMIT USE= RANGE & PIPING
PLAT4= 001966 PLAT NAME= PAUL ADD
t.A::. !:}!.- f0(:i- it? #'• •E•i�• _' W•
WIDTH= -- DEPTH=. . . . ..
OWNER= TIPTON, CHAMPS PHONE= 509 926 9336
ETREET= 12624 E 26TH AVE
ADDRESE= EPOKANE WA 99206
CONTACT NAME= AIRCOH PHONE NUMBER= %0 r 1,_ 4i72
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BUILDING;...:!!.iVir : i::.T``:
t'p i•r{i..•#'.:.. - FRONT= {`-,!:'A LEFT= . .. itt RIGHT= ./f^! REAR= NSA
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CONTRACTOR= AIRCOH PHONE= 509 448 4172
STREET= 2223 E 49TH AVE
AJ.i tR#:::::-:.:•:::: Y #.:ttKA#'iE WA 99223
ITEM[ M s .....:i..:1 .'..# . .i O N QUANTITY A"?t.. ... '•j .
r.KuUESSING 25 ,00
GAS PIPING 1 , 00
RANGE 10, 00
: *y : n : H9 * :: i} ty:.,j.. i*** i*} : *fj : PAYMENT `# " 'ft { fyF : : j* !:1i..::.j..:.}i...j.i..:.}{..:.!t.. it : :.!:..: : n : : *:.}j..*
PAYMENT DATE L.. . .._.Ci::..#.. . .. PAYMENT AMOUNT
N..
11 /21 /91 3914 36 , 00
................................................
iUiAL DUL= AO TOTAL PAID= 36 ,00
PERMIT a i. 1.—EE i:!M I I t.i . . AMOUNT . ....... AMOUNT OWING
-------------
MECHANICAL 'i•:.#'# # 36 , 00 ... ... .. :f'.. ,00
36,00 36,00
PFOCFEEED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
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