1991, 11-18 Permit: 91007929 Gas Log, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
I W. 1303 BROADWAY AVENUE
SPOKANE, WASHINQTON 99260
(509) 456-3675
I certify that l have examined thispermitlapplication, state that the informationcontained in It and submitted by me or my agent tocompilesaid 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. l understand that the Issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
giveauthority to violate orcancel 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 NUMBER= 91007929
ISSUED PERMIT DATE= 11/18/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET== 9716 E 45TH AVE PARCEL:== 05442--0303
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL GAS LOG & PIPING
PLATO= 002087 PLAT NAME= PONDEROSA ACRES STH ADD
BLOCK= 3 LOT= 3 "LONE= AGSUB DIST:== E
AREA= 00000000 F/A= F WIDTH= 146 DEPTH= 300 R/W=
OF BLDGS= s DWELLINGS= 1 WATER DIST =
OWNER= COOPERSTEIN, JIM PHONE= 509 928 8608
STREET= 9716 E 45TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A--IGAS SERVICE & REPAIR PHONE NUMBER= 509 922 3704
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT- NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A-1 GAS SERVICE & REPAIR
STREET= 511 N FARR RD
ADDRESS= SPOKANE WA 99206
ITEM DESCFRIPTION
PHONE= 509 922 3704
QUANTITY FEE AMOUNT
ROCESSING FEE Y 25.00
GAS PIPING 3 3.00
GAS LOG 3 30.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT PAYMENT AMOUNT
11/18/91 8763 58.00
TOTAL. DUE= .00 TOTAL PAID= 58.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 58.00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
58.00
******************************
58.00 .00
58.00 .00
THANK YOU *********************************