1991, 08-22 Permit: 91005245 Mechanical Fixtures SPOKANE COUNTY ILPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
• (500),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 OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER=w ; r
r
i '24' ISSUED PERMIT i?{•1 ! !::'• OR/29/94 PAGE= .:>`#
:..... .. ........................................ ........ P.,y 1. .t.NFr•.r•-:.,-• .. ..... '' ... ... .. ...
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SITE
•rT._ T _E•,- 11003
:,.•,•M - 30TH- AVE ... r. .. i 4' 4 f 1 +:}
ADDRESS= SPOKANE WA 99206
PERMIT USE— GAS FURNACE & WATER HEATER
r ? i- s _ 001393 _ iT NAME=
A ' - i f 1 MO TOWNS s _ .
..;. OF ,- r _, 4 F, r N -r- ` WATER ii ; # =
MODEL
OWNER= KIMBROUGH1 KIM PHONE= 509 927 7844
STREET=T= 11003 E. 30TH AVE£
ADDRESS= SPOKANE WA 99206
CONTACT NA"r _ PAM t aM: #i _ G 1PHONE
H; i - N_ "B! t= 509
,i 9 ri 7844
4
BUILDING.I .tt .-. SETBACKS : FRONT= NA 1...E. NA • RI.GRIGHT=:.. NA R.... NAis ,..
*x•*a> •n ar 1,:•}+:*•H:•i,:•t,::r•a,:•x ii•*se*'}E•},;•ii•t,:;{•'v:?i•},;:+t••P::,r•it• MECHANICAL '''?::.;•;i'•i i, # •t,:'a:*,x•:,i•n•n:•x**3,:•it::++::k'R:3,:•F:ik'a:*.r,,•.*.p:.P:•P:•fF:
CONTRACTOR= STURM HEATING PHONE= 509 325 4505
i t':t:.i' i•::.. 204 i::. INDIANA AVE
j..t 2 0
ADDRESS= SPOKANE I,t►'�4 �s }::.L.• f
ITEM DESCRIPTION Qi.EAN t .?. # ?"E E AMOUNT
PROCESSING„ FEE 25.00
G{:.i,. W i�t TER HEATER 10.00
GAS :1TE9 1::: ,'t.lsj'< 100, 000;gtT[-iht 12_00
***** ****K******************** PAYMENT SUMMAR:` Jt tttk•*•}e::!•i{•N•tift• •*hP•)Yk't-`*!t•*!i•:+;-;r9i•*y}•*•j!;
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
08/22/91 1 595 ss 47.00
TOTAL T•AL.. DUE=:: .00 TOTAL? A?... ?"'AItk=:: 47.00
PERMIT ' lFEE AMOUNT f " _ , PA II) AMOUNT OcFN ,
MECHANICAL PRMT# 47.,0'0 47.00
47..00 47..00 .00
PROCESSED BY : ,JULIE SHAT i T O
PRINTED Y.S`` : J i t ti H A i j fr
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