1991, 10-14 Permit: 91006781 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 9926G
(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= 91006781 ISSUED 1.. ±::..i i.:i..` i i...i DATE= 1 .. . ? .cy; {.:!: .. 01.!
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SITE STREET= 12802 E 27TH AVE PARCELO- 27543-2203
ADDRESS= SPOKANE WA 99216
HEkm11 USE= GAS FURNACE, WATER HEATER, & PIPING
PLATO= t..,.,•? .:, PLAT NAME= I..i}.t..!_.t.:h i::.,:: i ACRES 4i `F" ADD s t.:€±';E N:.i F.
BLOCK= LOT= LUNL— DISTO=
.. 1.1.1.1.: ESA= , WIDTH-
0 OF BLD`.: .€ 0 DWELLINGS= 7 WATER DIET ....
,OWNER= PICKETT, RANDY PHONE= 509 922 6621
ZTREET= 12802 E 27TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= RANDY i.: .!'.F:. i i PHONE NUMBER= 509 ....2 6621
BUILDING ...,..:j.:,,..;.
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CONTRACTOR=STREET= 204 E INDIANA AVE
!t:tYS::,`,.. SPOKANE t=€1' E r A 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F'•3:::l::: 25, 00
t:;t.`.'.[ WATER HEATER 1 10,00
GAS HTG EQUIP( 100, 000)BTU 12 ,00
GAS PIPING
2,00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/14/91 7570 49 ,00
................................................
TOTAL
DUE= , 00 TOTAL
, ' ' 49 ,00
PERMIT TYPE .!.., A1"€i..:IUN I AMOUNT PAID AMOUNT I c:jI±'•)G
MECHANICAL €.:iq.!v! €• 4:1:.01 49,00•`'0 ,00
49,00 49,00 ,00
PRINTED BY : jULIE SHATTO
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