1997, 03-05 Permit: 87000512 Water Heater a1�rrl MINI.'• w
mss.
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER_;PAPP113: .7: DATE
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PROJECT 1 1`11,3ME3!::.R= 87000512 PARCEL NUMBER= 32544-0803
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PERMIT USE= CHANGE—OUT GAS E••i WA ! !::.r+. HEATER
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SITE STREET=
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ADDRESS= SPOKANE AN''.. W 99206
d PLATO=O= 3,.}02086 PLAT NAME= PONDEROSA A ACRis S 4TH f"' i^!DD
BLOC':.... . LOT:::: 3 Z 0N.I::.= {.:}1_:-:::4..;B :t?.I.Sa T 4::' t:
AREA= 00047000 F /A= F WIDTH= 1_l l...' i j..j:::. ,,:'w::::
s OF I, (1! .... 1 DWELLINGS= :
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-1 OWNER— MC
Y CAROL J. PHONE:::: 509 ( ?4 5..6
STREET= 9905 44'T'H }::{i,'I:::
.I ADDRESS= SPOKANE WA 99206
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CONTACT NAME= MER l:::i'�?S ED PHONE NUMBER= 509-928-2100
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BUILDINGSETBACKS : FI' . NT... I...E1..'I .... RIGHT= RE :iR ..
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1 CO '-Ft LICO= i•iE!I.k}t.1A!". ::.'I ,_'j'•.'!
CONTRACTOR= { & N QUALITY
L : IIIT "1iTaxz 1::'HO i` ;! 9"928 . 10 ;
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STREET=
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1SOURCE : 1.!::.!..:.{. ,1 U _ GAS= Y OIL=
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*****************************4(.* PERMIT
FEES : t t : : : i : ; -* ; F f :}!:, ** ( j:}}: } pf: } jC
ITEM DESCRIPTION MEASURE QUANTITY FEE AMOUNT
f FEE
3R BLANK _
15.00
GAS WATER HEATER NUMBER OF i 6 .50
........................ ......_........»_.r..-.........._........
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) : .i . . 11lf * :: N :. tr k ( :sa : i: 1 . . 1lRECEIPT eE ^ SUMMARY : 3 ; :: u17r c: : : : : c v 7 : : y 1 1 i : {
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1 PAYMENT DATE RECEIPT# PAYMENT AMOUNT
06/05/ i 05.. ... .7..45. 21 ..50
TOTAL DUE= :.00 TOTAL 1 AL PAID:::: .... , ..._!•:1
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