1992, 10-23 Permit 92009270 Htg EquipSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY 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 cc
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the MSPS
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of I
give authority to violate or cancel the provisions of any state orloca�gulating construction, or as a warranty of conformance wi
laws regulating constructio
SIGNATURE OF (/ APPLICATION
OWNER OR AGENT /� ✓ DATE Z
.rmiVapplicalion is true
UIREMENTS/NOTICE
with whether specified
tall not be construed to
ons of any state or local
z:: O I -c;`. NUMBER= 920090-0 PERMIT F'lT'j"J _ifi
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PERMIT INFORMATION
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SITE , f"c 8103 EBROADWAY Hu ._. --_'ii.'45112038
AUl)'r{ES:`..;- SPOKANE Gift 990
!-r.:.F.i'•II! i..i:?;e::: HEATING e:.i::1i..il:F'i`•iir:NT & I':I:F':rair
PLATO- 9.999., 9 PLAT NAME= RANGE
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BLOCK= ILOT= s'(:1 N'i':`::: r:}i... S:_i Ca
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xOF TiSfS:! m DWELLINGS=
': WATER it Pt t I i
PHONE= 509 :.1:,1...: 7320
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u41i•al::.rt::= ,;,t.!:.:ru':rdiv,; ,.!r...rrr:f:_'r I=.
STREET= S103 E
DWAT AVE.
(=,!:;SiFte_SS:=: Sr't.ir,.r"1'rviE. Gtrq 990:5
CONTACT
N ACj NAME= JEFFREY Ca)(FtAN RIGHT= p)CvE N.i""fi-5
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?!I:v;vr SETBACKS: FRONT:N/A .F"1:Vi} Ni`:rf;:NIA
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.................. .. PERMIT
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MECHANICAL
CONTRACTOR= OWNER PHONE::::
ITEM DESCRIPTION QUANTITY FEE AMOUN'T
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GAS HT1 li l>;'{.IT: . 5'7 r7 , r7lYl: )BTI_i 25.00
.. .. .. .. .. .. .. .. .. .. .. .. .. ... ..
GAS PIPING I
t:.IV ! SUMMARY ii�r'di..n:�NT: vi ��e#ir:�n;•h�yr ar or �R'R $i 9e m: »i4.jk ie ie#ic dr
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'ft`rMENT DATE RECEIPT.": I: n")y'p:;r::i' i faMCit.iNT
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14;4(-11... ),ji..11t�:::: .00 TOTAL PAID= ,:-;:.':,u
PERMIT TYPE i'EE:: fq;ryOUNT AMOUNT PAID AMOUNT OWTN1G
--------------- —_._._................__._....__._ ------------ -------------
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MECHANICAL i' R t'i i :;,:1.47%i -- . t l O 4 tl
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PROCESSED BY; DOhi:i:TEtT::1'uIC-1, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
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THANK
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