1984, 12-10 Permit 00003673 Gas PipingSIGNATURE QF
DINNER OR AGENT
APPLICATION
DATE
JOB ADDRESS:
11920 E NSF 1: EI...D AV
OWNER:
BOB L..ECOUN'T'
ADDRESS:
11920 E MANSF II...I...D AV 127
CITv: ST: ZIP:
SPOKANE WA 9206••-00Cr0
APPLICANT:
HL:AT TRANSFER INC
CONTRACTOR:
HEAT TRANSFER
ADDRESS:
11616 E: MON'TGOML' RY AV
CITY: ST: ZIP:
t'POKANE: WA 99206 0000
LICENSES:
P 50 9-•926-1(393 F'ILATT .L •x 1 C38I...N
ARCM/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*: (CENSUS TR:
095440421 1 0999
INSPECTOR:
'LAT*:
009544
LOT & BLOCK
48A 021
FINAL
'LAT NAME:
Pi:NE:cROFT MOBILE I••IOMI..: PARK
LONE#:
ZONE
FSB
000
5-1
00(
5-2
00(
RSB
00((
MOD
1SE OF PERMIT:
GAS PIPING SPACE 127
OB ADDRESS:
11920 E MANSF• IE.L_D AV
SEG. *:
0003980
DATE:
12/10/R4
P
PROD*:
00003673
t.G12 . fl
MechAn "i c.a'L F't
DIFF , FEES Rx AM'T' DUE $8I 0
FEES:
$20.00
PAID OY:
CA
CK
k
CG
NC
COUNTER APP/l' `� y..11�`
PLANS EXAM:
DATE:
M i::: :. H A N :L C. A I...
PERMIT
MECHANICAL TOTAL.. FEES $12100
Processing fee Y Misc:: fee des:: Ar�1" $0 1 00 fee: $10.00
Gas i st"eM: 1-5 outletsoutlets$2 piping ': v.. 1 ��' (?(,�'a.f r._ 00 fey; I I n0
OFFICE COPY
12-10-84 868.75 *20.006