1991, 10-14 Permit: 91005981 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3615
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
Y• R O ,.? E t.: t NUMBER= °y 1 !:10 : ' ' 8 "i REVISED PERM?.! INFO t_!t.:, ± _:. :: i004/9i PAGE- ' :! i
PERMIT INFORMATION
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SITE STREET= ': :'i •!' 1;. ..: ±"!_ fA? 'd f _ P f=? `,'. i.: ±::.1....y .... .......... .... ' l �7''•:! '.
ADDRESS- VERADALE WA
PERMIT USE- INSTALL ALL WA 1 E±: HEATER r:. / HEATING EQUIPMENT ± / PIPING & AIC''.
PLATO= 000 89 PLAT NtA1M1::.:::: EVERGREEN POINT (WAS s,jA`Y' BREAK
ZONE=BLOCK- LOT= 1 SFR
0 11- B...??ixil= 1 0 .l?+1•?±::.LLIf'.±.5,'.•:::: 'i WATER l::.R DIS ! ::::
OWNER= M1.f N AL i HENRYPHONE= 509 924 000
STREET= i3905 E 28TH AVE
ADDRESS= DREG S= SPOKAN WA 99037
CONTACT N ME_::F; . r - O `
iY1N U C E R= 509
09 1S 9
9 i r)
BUILDING SETBACKS: v"! ;:{;'
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MECHANICAL PERMIT
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CONTRACTOR= SEARS PHONE= 509 489 ii70
STREET= P 0 BOX 3707
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
.................t............'T.1....+..t................................................................ ............................ — ........................ — _.... ----
PROC
G FEE Y
F3;:'• WATER ER 1"1EA f 1::.R ,i .`•...-,?'.,'
GAS PIPING &00
A I i CONDITIONER 0-3 •.'1 ! O N '! 12.00
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PAYMENT
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PAYMENT DATE 1''' E:. C': x:..1.1='..± ,.• PAYMENT AMOUNT
0908/0 6 6 3 ( 60 . 0j�j
---------------
TOTAL
............_.....-_........................1.3 i A?... f?l.?i::..... 100 TOTAL s'A.t.t_t::: 82.00
PERMIT TYPE F ?::.::. AMOUNT Aj"if. it ti `.! PAID AMOUNT t_ iSx?...±'ai.,
............................................................................................................ —............................................ —.............................................. ----
MECHANICAL P 1'' M i 02.%'.)82.0(-) :. 0 (-)
PROCESSED BY: ,.?1.iHN Lt"tRZ3t.i±'`i
PRINTED B Y : :.?1.11....1. E:. SHA ! i'O
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