1992, 06-09 Permit 92004158 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. j?n3 BROa.;.UW" AVENUE
%SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel 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.
APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
PROJECT NtliviL{4-R= 920041-56 ISSLIED F'1:=ii!'SIT DATE= ()6/09:92 PAGE= 01
s###### �:kieu•�i#####�;######�:##
PERMIT INFORMATION 9lH"1L••7L#'P:Y-#�!#!t•�t'�Y'k'R'##'R •P�!3lN M.R#3 ##
91 -TE STREET= i .3i 4 N EVERGREEN RD PARCEL-: 45i 4'2.92i'7
ADDRESS=:: SPOKANE WA 99216
PERMIT k.)SE= GAS WATER HEATER, HEATING Et>tJI1='MENT, & PIPING
PI...AT' = 999999 PLAT Nfl ji-5E== RANGE: H: -
BLOCK== 1._C!T::= ZONE= AGRI DIST.—:
A R EA == 00000000 F/ A=: F WI I)i'H — 96 DEPTH= 1 72 R./W=: 0
OF L-LDGS-: » 1DWEi._E.INGS:=: i WATER DIST
OWNER= ANDERSON, R I C'HiARD r:+jONE== 15EW 92-7 1097
STREET= i ;31 4EVERGREEN RD
r-1I)DRE::S 5:=: SPOKANE WA 992 i 6
CONTACT NAME:— A & M QUAE..I T"T' HEATING INC PHONE NUMBER:::: E::Fi:::: 509 9 .'.C? 2100
B1.!I:i._DING, SETBACKS: FRONT= NIA LEFT= NIA RIGHT— N/A REAR:= il!%r•3
-R'i\'1C##S:##R')l•T:###')•:'##jl•'1C"P:#########'YGiY MECHANICAL PERMIT#####i:##v:#3E3:3e#•ic###i;h:d-�iycir:ri'n.'
CONTRACTOR:::: A& M Qth-il_ I T Y HTG &
STREET== 12.710 E INDIANA AVE:.
ADDRESS=: SPOKANE WA 99216
ITEM 1)E SCRIPTI 0N
PROCESSING FEE
GAS WATER HEATER
GAS HTG E::G?UIP< i OO, 000 BTU
GAS PIPING
Ei...EC INC
ii-h:-i{•#-k:�i#;i###3i##ii-k########ii•####k• PAYMENT
PAYMENT DATE
06/09/92
TOTAL DUE=
PHONE= 599 928 2100
RECEIPT
4357
0 TOTAL. PAID::=
FEE- AMOtJNT
25.,00
J 07 () 0
i:?,00
2.0i)
PAYMENT AMOtJN T
49.0<?
49 CPO
PERMIT TYPE'. FE.::E: AM0UNT AM0L!NT PA 1. I) —OWI:kfC.;
r'rE:CH•iANICAL PRMT 49.00 49<0 .00
- 49.00 49,00 .00
PROCESSED BY: DOMITROVICH, ROBIN
i:'-*RIN"TED BY: DOMITROVT.CH•i, ROBIN
:#;i### ::P a,:rc#�;n•a:########aY#�:### THANK YOt.!###it##iE##ii#n#}{#v:##liicri#�?#e•###i####i