1991, 08-28 Permit: 91005360 Gas Log, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 056-3675
I certify that l have examined thls permit/application, state that thcinformatlon contained In It and submitted by me or my agent to compilesaid permlVapplication 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. understand that the issuance of this permlVapplicationand any subsequent Inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisionsof any seor local law regulating construction, oresa warranty of canformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF�� APPLICATION $-27_5'
OWNER OR AGENT L-J�"— DATE
PROJECT NUMBER= 91005360 ISSUED PERMIT DATE= 08/28/95 PAGE= 01
**************************** PERMIT INFORMATION ****************************
PARCELS= 28543-5459
SITE STREET= 45052 E 35ST AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= (2)GAS LOG & PIPING
BLOCK=
AREA=
4 OF BLDGS=
OOkWNNER=
ADDRESS=
CONTACT NAME=
BUILDING SETBAC
***************
CONTRACTOR=
STREET==
ADDRESS=
ITEM
005393 PLAT NAME=
LOT=
F/A=
4 DWELLINGS=
NIXON, Iyy
SPOKANEE-JWMAS99�06
KOKOMO TOWNSITE
ZONE= UR -3.5 DIST=
F WIDTH= DEPTH=
5 WATER DIST =
PHONE= 509 927 5966
F
R/W=
JON JOHNSON PHONE NUMBER= 509 922. 3704
KS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**************** MECHANICAL PERMIT **************************
A-5 GAS SERVICE & REPAIR PHONE= 509 922 3704
555 N FARR RD
SPOKANE WA 99206
DESCRIPTION QUANTITY FEE AMOUNT
PROCE
GAS P
GAS L
SSING FEE Y 2 25.00
IPING
OG 2 20,00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
08/28/95
TOTAL DUE=
RECEIPT4
6082
.00
PAYMENT AMOUNT
47,00
TOTAL PAID= 47.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
=MECHANICAL PRMT
47.00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
**************# 44e************
47.00
47.00 .00
47,00 .00
THANK YOU *********************************