1991, 10-21 Permit: 91007017 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
OWNER OR AGENT DATE
PROJECT ± t ? ; = : E :n: roif ISSUED EDFErI
! DATE= it;1; ....1 !''Al.r.... Al
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SITE ! ?',.::.?::. E .... 11811?::'{ , i::. 31ST A V E•• P A r C!:i••i .. :{:y:..,ss,.t:y.....i
ADDRESS- SPOKANE WA 99206
PERMIT USE= (2) GAS LOGS & PIPING
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BLOCK=PLATO= 002392 PLAT NAME= SKYVIEW ACRES ADD
17 LOT= 8 ZONE='
AREA= 00000000 F/A- F
•F!' OE.. BE. E7E•:::.:w '{ 4 .?7ii.J?::E DWELLINGS= ; `!Wi:-{"{ .t.E'{I ?.,.. . =SUB ,
OWNER=`= -U ? N f•M : f`'!L''.,l A '`HOS''%?::.' 509 2 35
STREET= 11811 E 31ET AVE
ADDRESS=y:::: :'I: OKANI WA 99206
CONTACT NAME= A?...i•'!tt ":j.i ? i;%A E'E PHONE NUMBER=
SETBACKS : LEFT= RIGHT= REAR-
: ✓ 924 s :
BUILDING . . . • : y� tJF
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flONTRACTOR= - CO GARDEN CENTER INC PHONE= 509 926 8911
STREET= 9310 E
ADDRESS= SPOKANE SPRAGUE WA 99 106
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PRgCESSING .'t.?.:. ?i�' 0c)
GAZ-, PIPING
GAS LOG
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i• '=F::.!•'% , ,fi:.i ! !::. RECEIPTO PAYMENT AMOUNT
10/21 /91 i X81 47..00
TOTAL E f.}±... ')t.:!....... .00 TOTAL ?-'f::•!.j_i:::: 4 7jryl 61
PERMIT T ! FFEE AMOUNT f 't ( , T PAID ( OWING
47,00 . ,00 ,00
PROCESSED :S Y : :.)U i....?.?::. ,'s E'9 f•:! E E E E
PRINTED BY : jULIE SHATTO
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