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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