1987, 10-05 Permit 87003327 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, Axe 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 herein or not. I understand that the issuance of this permit and any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 87003327
DATE= 10/05/87
PAGE =: 01
PERMI.T INFORMATION
SITE STREET= 13905 E BROADWAY AVE:: PARC:Ea.O= 145.42-9176
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS PIPING
PLAT*- 999999 PLAT NAME-. RANGE:
BL_OCOm LOT= ZONE= AGRI DIST:g—
AREA= 00000000 F/A=:: A WIDTH= DEPTH=: R/W=:: .40
0 OF BI...DGS= 0 DWELLINGS=1
OWNER= CLARK, JOHN M PHONE.::::::
STREET= 13905 E BROADWAY AVE
ADDRESS- SPOKANE: WA 9906
CONTACT NAME= CONTRACTOR PHONE NUMBER= 509--928--8252
BUILDING SETBACKS: FRONT-:: LEFT= RIGHT=: REAR::::
MECHANICAL PERMIT
CONTRACTOR= AL.DENDORI= FURNACE PHONE= 509 9211 8252
STREET= 9311 E TRENT AVE
ADDRESS= SPOKANE:: WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- __._........_....._._
PROCIii:,SSI.NG FEE Y i-5 400
GAS PIPING 1 00
M:I:NIMUM FEE ADJUSTMENT Y 4.50
PAYMENT SUMMARY
PAYMENT DATE: F:ECEIPTI;
10/05/87 4052
TOTAL. DUE:= .00 TOTAL PAID=
PERMIT TYPE: FEE:: AMOUNT AMOUNT PAID
MECHANICAL PRMT 20.00 20.00
_--.. .
20.00 20,00
PROCESSED BY: WENDf::L, GLORIA
PAYMENT AMOUN 1
20.00
-------------
20.00
AMOUNT OWING
---------------
.00
---------------
.00
THANK .. < 1
111AE�1: Yt:il_