1991, 09-05 Permit: 91005551 Water HeaterJ �•r—a
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON•992£0
(509) 456-3675
1 cerhQthat 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. 1 understand thatthe 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 OF APPLICATION
OWNER OR AGENT DATE
i" ±'`: +..! :.! i::: t:. i- NUMBER= , ! ':7'•:1 _? ::r ? 7 ISSUED C'1.:.Rt"i.i:• i- DATE= 09/05/9i PAGE= _j-?
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PERMIT
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SITE STREET= i0915 `.. 29TH AVEPARCELO= 28543-4 306
ADDRESS= SPOKANE WA 99206
PERMIT U: • ::.= Gr"}::• WATER ±::..`5 HE::.±i I ER
PLATO= PLAT
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BLOCK:::: LOT= ZONE= UR -3.5 DISTV::
OWNER= CARBON jR, i i::PHONE= 509 928 53iO
STREET= i005 E 29TH AVE
ADDRESS= SPOKANE I n 99206
CONTACT .•fA±ii:...... f:::D ±•'±1...±”: ± ±...r•J,`'I:'I'i.. 1 ..... NUMBER= I: E:.Et:::• .. 928 000
BUILDING SETBACKS: FRONT= NALEFT= NA RIGHT= NA REAR= NA
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MECHANICAL ±k""
00
CONTRACTOR= i-'± ::; ±"4 QUALITY !"1 ! ±.x & ....... i::. C INC PHONE= 509 928 >:..
STREET= i200 E INDIANA AVE
ADDRESS- SPOKANE WA 9906
ITEM DESCRIPTION I 'Ur`N (Ii'l FEE AMOUNT .
.................................................................................._ ................ ............................ — ------------
PROCESSING FEE Y r} 5
.00
GAS WATER HEATER i i 0 0-1)
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PAYMENT DATE RECEIPT:i: PAYMENT AMOUNT
09/05/9i 6289 35.0,'.-.)
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PERMIT (`r`f''E:: F E:: E:: AMOUNT A:'t... r. (' PAID AMOUNT I. r.'..Y
MEf;HAN.i.Cf•A±L.. i"'I":±`'±i 3510!:1 35.00 100
PROCESSED BY: GLORIA
PRINTED :t 'r• : ...IE::NDE::i...`.GLORIA
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