1991, 08-29 Permit: 91005431 Gas FurnaceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-1675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said 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. I understand that the issuance of this permit/application andany subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the pro . sions of any state or local law,(-: ulating 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= 910054 31 ISSUED PERMIT DATE= e= ,8/29 91 F'AGE= 01
* 'p.' R- ... * 'A: *. T: 'Yi- A: DL' 'x -R' * * * * ** 'h.- * .. ;i- )t' F-' E. p 1 "( 1. f I 1 Y I-- (.f R M 0T 1. 0 N -k- * • -h- 9t- .P: 'R' 'A' 'R' ll' * .A 'P: T * 'H' 'P: 'P:. 'b: =N: -P: * . . .y * *
SITE STREET= 1010 iii ELLA RD
ADDRESS=:: SPOKANE: WA 99212
PERMIT -j-T USE_::= GAS FURNACE & PIPING
Jr_
1=' A Ft (:; E- L.: ;- :: 10542-0806
PLATO= 000865 PLAT NAME= f IORErL.L_I ADCC
BLOCK= '.! LOT= ZONE= 11(.1L..1`F DISTO=
AREA= 00000000 F -/A= F WIDTH= (i -i=:: 1,F::F'TF-I:_.
OF T l._DGS== i 4 DWELLINGS= 1 WATER DIST ==_
C OF::R-: FIc:tF :::I...I...I . DONALD R
S'i R I 1:::'T 1 :) -i 17 tt. ELLA RD
ADDRESS= SPOKANE: WA 99212
i: -
PHONE= 579 924 0979
R/'W - 50
CONTACT NAME= DONALD F IORE.L..L..1. PHONE NUMBER= 509 924 0979
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= iwlr--
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CONTRACTOR= (3WNE::R PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 'i 25..00
GAS 1-ITG 1: -QUIP<. 1 00, 000>BTU 1 12.00
GAS PIPING i 1.00
* * yr * * * yr * -i•: tii- ai• * )c ie ri * * * iE ii- ii- iE # * * it- * ii- # ii- * -. .. .. - -
- h -Y Y 1 �:± _ 1"11 1 FY -ti n- yu -;r �i- 3r �E it is ii� # 3r it n� n -,i� it �x ri� 3i- ii- it # n ri� tii� �n: *
PAYMENT DATE: REi:CE:I F T- „- PAYMENT AMOUNT
08/29/9i 61 64 30.00
TOTAL DUE= n00 TOTAL_ PAID= 38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
i-iEC;I--1AN1:C::AL.. PRM7 30.70 30.00 .C_;C_;
30.00 30.00 .00
PROCE::SD BY: : ._I(.1L IE_ si-iATTO
F'RIiWTi::::(' BY: JULIE SI-•IATTCl
!k 'P, iE 'P. -)•.- H.' * M. 'H, k' 'R' 9l- 'P, fl. Ji 'P' iC- 7t ')l' * 94";l' 'P: T: 'P. 'P ;C' T. '9.' -P. A: * THANK Y j ,{ ,.I ***********:****************x****