1992, 08-21 Permit: 92006709 Mechanical Fixtures SPOKANE COUNTY UEt ARTMENT 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OFAPPLICATION
OWNER OR AGENT (f, Q A,tiw^— DATE 0 – / t--
I° C E:.t.: ? NUMBER= 92006709 ISSUED PERMIT f ,tAT(:.= 08/21 /92. . ....
nor ••: •».nr:•r.np}i.:,;.**}e..*•3t'*ie*3'.3+i*3e*p' PERMIT INFORMATION ?!'7F a!•9•`.'!t 1!•M'**N:•!,..,•.'!+''tr 9r 9?•9t 4''*9t'!k 9k•K 9,.:u:*?•.*
SITE S ! RE:.E:. ee:: 12321 G:. 27TH AVE i"A R i..,i::.1... is a:. 4 w.._'7,.. _ 2: f:3 0
.j
ADDRESS= SPOKANE WA 9 206
PERMIT 1 '[ : Y A ti WATER _EEfE : , HEATING EQUIPMENT, , PIPING
i='i....T...: 001230 =T + ..E tT ACRES 7TH ADD
AREA= 00000000 •• : s i- 3. +!T F 7 J i::.�'•!i-i:::: I•.; ���j::::
•Y OF :,i DG;k-' i DWELLINGS= 1 WATER DIST ::::
OWNER= BR "UY h , RUSSELL PHONE= 509
; s ' , : 2797. _ ,
STREET= 12321 E 27TH AVE
ADDRESS=:.. Si'`C:Ii<:ANE WA 99206
CONTACT NAME= AIR CARE SYSTEMS RIGHT=
PHONE NUMBER= 509 647 2811
BUILDING SETBACKS : FRONT : N/A 1EFT : N/A
N/(�1 REAR= N,.%f'j
) *9k*'Y:•H 3t 3{•i,:.•p•'P:y!.'13•**'A'')?-)!•i!'•H:*iF N:7l•it A:1k)k'b:.;i..j,.. m 1::.C:i'•7A t'N I o t 1?... ?"'?::.F'`m J. ? 1k 9k'tt'R•*it'*1{•9!•§k'P:**)!•j,.:!(.'1!'n'•t!'•11•'A:'P:'tR•:7:*?:
CONTRACTOR= AIR CARE SYSTEMS PHONE= 509 647 2811
STREET= P 0 BOX 634
ADDRESS= WILBUR WA 99185
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE ': "c 00
GAS WATER HEATER 1 'i a„Ot:i
GAS HTG EQUIP000, 000)BTU 12,00
GAS F''IF'I.NG ." 2.,00
.. ........ :• .. . ..... . ... t..
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PAYMENT DATE RECE I FT; PAYMENT AMO N"
08/21 /92 681 4 49 ,00
TOTAL i AL. DUE 0 TOTAL. PAID= .4y :.[_i?i
PERMIT TYPE F.E::F AMOUNT NT AMCOUN I PAID AMOUNT OWING
ING
MECHANICAL i•''R?''?i 49,00 49,00 „00
49,00 49=00 ,00
PROCESSED BY : i)OMITROVICH , ROBIN
PRINTED BY : DO?"iITint:OVICH, ROBIN
tc**n1aa i iiE c i p N§ nnapx ik*} i s 33 *aTHANK yt . "*x4i) e i* i : i nnhnv ) iti );. tti r * :*: a !a