1992, 10-02 Permit 92008355 Gas Hook Up-VoidSPOKANE COUNTY, ZEJ�AIRTMENT OF BUILDINGS
W. 1303 BROAIQ WAY AVENUE
SPOKANE] WASHINGTON 99260
(509)456-3675
I certify that 1 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 end 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9:i'0tii8 351.5
\J41D
..0:" 199
ISSUED PERMIT DATE= 'i';!: i:,::... ::..
PERMIT INFORMATION
SITE STREET== i1920 E: MANSFIE:.LD! AVE. iOi9 PARt.f.::i..I== 450474,6020M
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS HOOK UP OUTSIDE MOBILE HOME.
PLATO= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT=ONI == Ri=1H D:I:S'T'x'= r'I
AREA= 00000000F/A== A WIDTH== DEPTH=R/ul:=:
OF BLDGS== x: DWELLINGS=: iU WATER DIST --
OWNER- SCHIMANSKI, RUTH PHONE=:
STREET= 11920 E" MANSFIELD AVE 409
ADDRESS= SPOKANE WA 99206
CONTACT NAME= HEAT TRANSFER INC PHONE dl`iEF=7J t " : c3 A
00
BUILDING SETBACKS: FRONT= N/A LE1=T:::: N/A RIGHT= N/A REAR== NIA
MECHANICAL I"EEtihl;.T
CONTRACTOR= HEAT TRANSFER INC 1-'Y1OPdE= 509 328 3400
STREET= 1008 N RUBY ST
ADDRESS= SPOKANE:. WA 99202
ITEM DESCRIPTION QUANTITY FEE AMOUNT
_—_._._.....—_.................—__...............-----.._... —
P'ROCCEi:SSi:NG FEE Y.0
MISCELLANEOUS i i atq`
. .... ..
PAYMENT E::NT ,C'UMM.tF[Y t-
PAYMENT DATE REC:EIP'T»: PAYMENT AMOUNT
10/02/92 8506 z5
TOTAL.. DUE= .0+0 TO'T'AL PAID= :3";.i:,
PERMIT TYPE PEE: AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL ....... .....MT 3500 3 00 .00
3500 35.0 ,30
PROCESSED BY: DOMITRO'VICH, ROBIN
PRINTED BY: DOMI-CROVICH, ROBIN
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