1992, 04-30 Permit: 92002976 Mechanical FixturesSPOKANEAE, WASHINGTON 99260
Y DEPARTMENT OF BUILDINGS
BROADWAY AVENUE
(509) 456-3675
1 cerhfy tha" have examined this permit/application, state that the information contained in it and submitted b* me or my agent n said permit/application is true
and correct and authorAe 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 ofthis 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 AppuCAT|ow
OWNER OnAGENT DATE
PROJECT NUMBER= 92002976 ISSUED PERMIT DATE= 04/30/92 PAGE= O1
**************************** PERMIT INFORMATION ****************************
SITE STREET- 1372i E 30TH CT PARCELO= 27544-0908
ADDRESS- VERADALE WA 99037
PERMIT USE= GAS FURNACE — WATER HEATER — PIPING
PLATO= 00i705 PLAT NAME= MOUNTAIN VIEW 4TH ADD
BLOCK= 9 LOT= i9 ZONE= UR -3.5 DI%TO= F
AREA= F/A= F WIDTH= 85 DEPTH= 130 R/W= 50
0 OF BLDG%= 0 DWELLINGS= i WATER DIST = VERA
OWNER= KOMAREK, DELORE% PHONE= 509 928 8762
%TREET= 1372i E 30TH CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= ED MERTEN% PHONE NUMBER= 509 928 2100
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A & M QUALITY HTG & ELEC INC PHONE= 509 128 000
STREET= 12710 E INDIANA AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT'
------------------------- -------- -------------
PROCESSING FEE Y 25.06)
GAS WATER HEATER i i0.A0
GAS HTG EQUIP(iOO,OOO>BTU i 12.��
GAS PIPING 2 2.0O
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:!�: PAYMENT AMOUNT
04/30/92 3i88 49.00
------------
TOTAL DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
MECHANICAL PRMT 49.0O 49.0O .O0
------------- ------------ -------------
49.0O 49.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************