1987, 02-26 Permit 87000446 Gas PipingSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel thevisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR .. AGENT DATE
2126187
.:
PERMIT INFORMATION )E,(3[�(i{•iiuit3i'j[iik ie?c.ir..x.:,,: dp g43t. ii.3r. at..y: iid[.3E it.
PROJECT NUMBER==
87000446
PARCEL_ NUMBER=
—04:'i
09544-042i
PERMIT USE=
GAS PIPING
SITE STREET-
11920
E MANSFIELD
ADDRESS=
SPOKANE
WA NNO
99206
PLATO=
MH0045
PLAT NAME= P:I:NEi:CROFT
MOBILE
HOME. PARE.
53LOCQ:
LOT=
i ZONE=
RMH
DIST*=:: F
AREA==
00000000
F:A= F
WIT7TH-
DEPTH= R/W::=
I: OF BL_DGS-
i x':
DWELLINGS-::
i
OWNER=
GOUL..DING,
STEVE
PHOi•11-:-
509 487 36i2
STREET=
11920
E: MANSFIELD
AVE
53
ADDRESS=
SPOKANE
WA NNO
99206
CONTACT NAME== OWNER PHONE NUM)3(:I' -
E.U:Li_.DING SETBACKS: ERi_NT::: LEFT= RIGHT= FEAR::::
at.u..x.�....E.x.tt.,(..x.a(.x.a(..x.a(.u.�.�..t.ar3i..i;.,i.a;v;�:x•�;ii MECHANICAL PERMIT ai,ta(3(nae� � �uaaacat ia(a(��(aaaFarastea(io-a(.
CONTR I...:I:C:.:= OWNER
CONTRACTOR= OWNER PHONE:--
FIRM
HONE:=FIRM NAME= OWNER
ARCH/ENG::.- PHOTt Q.—
STREET
ADDRESS=
SOURCE.:: ELECTRIC= GAS=:: Y OIL= COAL= WOOD= SOLAR== HEAT PUMP=::
ITEM DESCRIPTION
PROCESSING FEE
GAS PIPING
MINIMUM FEE ADJUSTMENT
PAYME:.f•!-i DATE:
PERMIT FEES
MEASURE:
Y OR BLANK
4 OF UNITS
N OR BLANK
QUANTITY
AMT PAID=
RECEIPT SUMMARY
I E:CE::I:PT
PAYMENT AMOUNT
02/226/87 a 650 0 20..00
SPOKANE COOY DEPARTMENT OF BUILDING AND FETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
'ti.FtT r#rE1 .87000446 PARCEL NUMBER:i::4,,.:1
f .?DR F ;':::: SPOKANE WA NN() 99206
TOTAL DUE=
,00 TOTfyI... PA:I r= 20,00
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