1991, 11-14 Permit: 91007863 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VV.13O3BROADWAY AVENUE
SPOKANE, WASHINGTON 9926V
(509) 456-3675
1 cerhy &atl have "am Ned &is permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/applicati on is true
and correct, and uumorum Spokane County to proceed with processing. In addition,/ have read and understand the a soTu Eo ME
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 ofthis permit/application and any subsequent inspection approvals orCertificaNs of Occupncyshall not be construed to
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER onAGENT oxrs
PROJECT NUMBER= 0007863 ISSUED PERMIT DATE= i1/14/9i PAGE= O1
**************************** PERMIT INFORMATION ****************************
SITE STREET- i3709 E 30TH CT PARCELO= 27544-0917
ADDRESS= VERADALE WA 99037
PERMIT USE- GAS FURNACE — DUCTWORK — PIPING
PLATO= 00i705 PLAT NAME= MOUNTAIN VIEW 4TH ADD
BLOCK= 9 LOT= i7 ZONE= UR -3.5 DI%T*= F
AREA:::: F/A= F WIDTH= 85 DEPTH= i30 R/W= 50
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= PETERSON, KEVIN PHONE= 509 928 4777
STREET= i3709 E 30TH CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= AL MAY PHONE NUMBER= 509 536 5053
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= EVERGREEN HEATING & COOLING PHONE= 509 536 5053
J!KELi= 6002 E ALKI AVE 4002
ADDRESS= SPOKANE WA 9902
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
ROC %%ING FEE Y 25.0O
DUCTWORK SYSTEM i iO.00
GAS HTG EQUIP<iOO,OOO>BTU i i2.00
GAS PIPING i 1.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT� PAYMENT AMOUNT
ii/14/9i 8700 48.00
------------
TOTAL DUE= .00 TOTAL PAID= 48.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ----------- ----
MECHANICAL PRMT 48.00 48.00 .00
------------- ------------ -------------
48.062) 48.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************