1992, 12-07 Permit: 92010728 Gas Log, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l have examined this permit/application, state that the Int ormatlon contained 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 REOUIREMENTS/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 ofthis permit/application end any subsequent Inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orc ncel 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 construed()
SIGNATURE OF �L� I✓ I��q dl//0^ DATE CATION
OWNER OR AGENT `J" `C -W "tY lX
PROJECT NUMBER= 92090728
ISSUED PERMIT DATE= 92/07/92 PAGE= OS
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10120 E 44TH AVE
ADDRESS= SPOKANE WA 99206
PARCEL4= 44051.9040
PERMIT USE= GAS LOG & PIPING
PLATT= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGSUB DIST#= E
AREA= 00000000 F/A= F WIDTH DEPTH=
4 OF BLDGS= 1 4 DWELLINGS= 1 WATER DIST =
R/W= 60
OWNER= SMITH, KAREN PHONE= 509 926 2965
STREET= 10120 E 44TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A-1 GAS SERVICE PHONE NUMBER= 509 326 6215
BUILDING .SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= A-1 GAS SERVICE & REPAIR
STREET= 924 W KNOX ST
ADDRESS= SPOKANE WA 99205
ITEM DESCRIPTION
PHONE= 509 922 3704
QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS PIPING 1 1.00
GAS LOG 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
12/07/92 1026 36.00
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 36.00 36.00 .00
36.00 36.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DGMITROVICH, ROBIN
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