1991, 10-11 Permit: 91006759 Gas Log, Piping 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 l // ? /
OWNER OR AGENTAt''‘'...4aDATE
1•`lc-1-,I,,JE 1 1 NUMBER=.... ':'it~}tr 6 59 !, •.,.,:ii'.. PERMIT DATE= 10/11 /9i ^'?.:? .
•1?•1!i;,L;,e•;u•;ii.j?.:,:.jt._y.ji..j{.:p.:!(..}i:*.}k•)L•H:9!:?Y•tL.9L.9L.N.9!.ti.tn• i`?::.i'4?'?.?. !- TNFoRNATIoN *********** ***,*** ****y:****)`•
11)1,11•t l::.S •>::.. SPOKANE i n t`: 99206
PERMIT USE= INETALL GAS LOG G P ; r',; 1'••11::
?•'?...{.:1 1 :M::::: 001393 P?...t.:; 1 NAME= K..O i'.O t"t O TOWNEITE
BLOCK= Jo LOT= 5 ZONE= UR 3.5 DIETO=
AREA= WIDTH= DEPTH= /
•„- OF S:tl...311:,,,:::: 1 :H: t,)if)?::.?...? x,#`Ji.xE::: 7 WATER?::.?'ti t:i.,`: ?
OWNER=l•.,= Ni.. R 1 ?'`JP•:11 , ..1L.)?••??'+? t.•?..?;_}NE= -:L;!';,-' 922 1290
;'i j ' ... •i 'i .t`.}l i :} [•. ��”! :1 A:�t 1.
A i)L R i'::: :::: .... .. f r:;?N
CONTACT NAME= rq '; HEATING •'•; A.''t.. i-`I••41,-1!•11::. NUMBER— 509 325 1345
BUILDING SETr.••tl. FRONT= ?:, LEFT=T= :`,'A RIGHT= •-?A =?::.f.:i;;.= Ni
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CONTRACTOR= A-1 t••1?::.t.:; ? I!'\l:r & {..t:'?..: SERVICE PHONE=! 509 325 1345
ETREET= 5323 N POET ET
ADDRE.:.,.. " SPOKANE WA 99205
ITEM D E,`.-C f`;.i.P ? i,t,l l,? QUANTITY •'1...E AMOUNT
PROCESEING FEE 25,00
G A:• ?...i_.i t•• '1 10 .00
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/11 /91 1 2-1 2 36 .00
................................................
,_OT:., DUE= 00 TOTAL.1 PAID= 36 ,00
PERMIT TYPE ?::.E AMOUNT AMOUNT PAID AMOUNT NG
MECHANICAL PRMT 36.00 36,00 .00
36,00 36.00
PRINTED B`{ • •_il.1H#'`? LAREON
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