1991, 10-07 Permit: 91006589 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT 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,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= 94 006589 ISSUED PERMIT DATE= 10/07/91 PAGE= 01
***3 ****** * * *** * PERMIT INFORMATION x*****•*** *•********* ***
SITE STREETSTREET= 11213 E. 30TH AVE PARCEL;:-- 28543-4722
ADDRESS= SPOKANE WA 99206
F
PEMIT USE= GAS FURNACE,T WATER HEATER & PIPING
PLATO=:: 001 393 PLAT NAME::- KOKOMO TOWNSITE
BLOCK= LOT= ZONE::-:. UR-3-5 ]i]:ST.tT..
AREA= F-/A:::: F WIDTH=:: DEPTH= R%W::= 70
:a: OF BL.DGE-- 4 DWELLINGS= 4 WATER DIST =
OWNER= TORGENSON, GARY PHONE= 509 922 3982
STREET- 11213 E 30TH AVE"
ADDRESS= SPOKANE WA 99206
CONTACT NAME= E+FAD, 1-tAi llM' PHONE NUMBER= `:Saux<iF 924 0018
BUILDING SETBACKS : FRONT== NA LEFT-- NA RIGHT= NA REAR= NA
;{*•>~•xxai• R.. xR*•x•x •***xR;~h•**xx: *** MECHANICAL.. PERMIT R;k*•u**•;t** :*gip:****•A••h•x•;,:*••x•*b:•xM•
CONTRACTOR= AIRF. VALLEY HEATING & COOLING PHONE.:::: 509 924 0048
STREET= 524 N E L..I...A RD
ADDRESS=- SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------
PROCESSING FEE. 'T' 25.00
GAS WATER HEATER i 10-00
GAS HTG EQUIF'( 400, 000>ItIII 4 42,00
GAS PIPING :? 2.00
•x•x•*******•;i:•x**•x3**x**x**x*xx**** PAYMENT SUMMARY h*••*•• •• ** ••x : x•h •b:** •A** •**
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/07/91 r 400 49:00
------------
TOTAL_ DUE== .00 TOTAL PAID::- 49-00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL F'RMT 49,00 49-00 .00
-------------
_. _.._. 49.00 49.00 -00
PROCESSED BY :{, WENDEL_, GLORIA
PRINTED BY : WENDEL.., GLORIA
•****•k***tt***ari*ii • : x***x• •* x*x THANK YOU *a►Rrir•* i* •b•kh**a* •** • A• •* •*,ikr:*h*tt