1992, 12-15 Permit 92010964 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 -BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
IcertifythatI have examined this permit/application, state that the information contained in it and submitted by me or my agenttocompilesaid REQUpermitIREMENTS/NOTICE 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
provals or
hve authority t. Iunderstand to violateo cancel theissuance
rovsionfthis s of any state orrllication and local law regulating construction, ,o asant inspection warranty of conformance �twies of th the provisbnls of any s etel not be torlocarued �
9 Y P Y
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT ivf.liiHi:i{= 92016961 ISSUED PERMIT DATE: 1-1/15092 PAGE- (?i
ii")t"A'%"A'lt'ft'#"YY#lI•'h'##'#'#'M'##'#"M'##"M'#'ft#•#'
PERMITINFORMATION
SITE STREET== 12702 E BROADWAY AVE PARCELO== 40 53.0203
ADDRESS= SPOKANE WA 99216
PERMIT USE= :DUCTWORK, GAS WATER HEATER, HEATING EQUIPMENT, n PIPING
PLATO= 00838 PLAT NAME= OPP.TR. 1•-354
BLOCK- 92 LOT= ZONE= UR --3, DIST*. E.-
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W- 40
OF NL -DGS= i 0 DWELLINGS= i WATER DIST
OWNER=:: WAGNER, NORMAN PHONE
--
STREET= 12702 E BROADWAY AVE:
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ANDERSON'S SHEET ME:'TAI... PHONE: NUMBER= 509 928 0960
BUILDING SETBACKS: FRONT== N/A LEFT== N/A RIGHT N/A REAR= N/A
MECHANICAL PERMIT
CONTRACTOR= ANDERSON'S SHEET METAL PHONE= 509 928 0960
STREET== Q903 E TRENT AVE:
ADDRESS= SPOKANE: WA 99216
ITEM DE:SCRIP'TION QUANTITY E'EE:: AMOUNT
-----------...----------..-..-----..-.-......---.-.--------- -----------
PROCESSING
----------------PROCE::SSING FEE Y 25 00
DUCTWORK SYSTEM i i 0.00
GAS WATER HEATER i i(?.00
GAS HTG F..QUIP(i00,0007HTU 1 12.00
GAS PIPING 4 4,.00
PAYMENT SUMMARY
PAYMENT DATE:: RECEI:P00
12/15/92 1261
TOTAL DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID
---------------------- ------------------ ------------
MECHANICAL PRMT 61,00 611.00
------------- ------------
61.00
_.- ---_ ------
61.00 61.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
PAYMENT
AMOUN.T.
61.£fF,
61 .00
AMOUNT OWING
--------------
.00
-------•----- .00
-------------
.00
----------.00
THANK
YOU t x: .................. : ..
I i'Y f'i C Y ....1