1987, 01-19 Permit: 87000131 Furnace SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the NQTICE provisions included herein and agree to comply with same.All provisions of laws and
ordinances governing this t /workwmuom,mpnoow/mwoethe,opoomeohom/no,nm.rhoomnunov/uno,mnooe»notnmxvmotog/vouumo,/w
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
DATE= 01 /19/87 PAGE= 01
---------------------------- PERMIT INFORMATION ----------------------------
PROJECT NUMBER= 87000131 PARCEL NUMBER= 28543-3321
PERMIT USE= GAS FURNACE
%ITE
STREET= 1i323 E 27TH AVE
ADDRESS= SPOKANE WA 99206
PLAT4= 1393 PLAT NAME= KOKUMO TOWNJITE (COPY IN PRINT
BLOCK= 33 LOT= 17 ZONE= AG%UB DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= 4 DWELLING%= i
OWNER= ORTIZE, KEN PHONE=
T I E 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BARBARA PHONE NUMBER= 509-487-4328
BUILDING SETBACKS : FRONT= LEFT= RIGHT= REAR=
------------------------------- MECHANICAL PERMIT
CONTR LIC4=LIC4= AIRDEI*161JW
CONTRACTOR= AIR DESIGN, INC PHONE= 509 487 4328
FIRM NAME= AIR DESIGN, INC
ARCH/ENG= PHONE=
STREET=
ADDRESS=
SOURCE : ELECTRIC= GAS= Y OIL= COAL= WOOD= SOLAR= HEAT PUMP=
------------------------------- PERMIT FEES
ITEM DESCRIPTION DE%CRIPTION MEA%URE QUANTITY FEE AMOUNT
PROCESSING FEE Y OR BLANK Y 15.00
GAS HTG EQUIP( iOO, OOO>BTU NUMBER OF i 9.00
GAS PIPING 4 OF UNITE 6 3.00
------ ------------
7
27,00
AMT PAID= 27.00
------------------------------- RECEIPT SUMMARY PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /19/87 214 27.00