1992, 10-16 Permit 92009000 Gas LogSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application 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
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancel 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= 92009000 ISSUED PERMIT
A: Itft' 3* 3'3*3**tit' A' A' A' A" 3* 3* P.'*riA*3*3*
DATE= 10/16/92 PAGE= 01
PERMIT INFORMATION *!!fi'RAfESI'3t:ift)f'R#k AR']Y'tlft R'.A'.tltl'.R'.jl'.tl
SITE STREET= 16916 E BROADWAY AVE PARCEL4= 45134.1804
ADDRESS= VERADALE WA 99037
PERMIT USE= GAS LOG & PIPING
PLA f v = 000868. PLAT NAME= FLORA ACRES SUB
BLOCK= i LOT= 4 ZONE= UNK
AREA= 00000000 F'/A= WIDTH=
a OFBLDGS= 1 8 DWELLINGS= 1 WATER DIST
OWNER= BERGAM, BLAINE
STREET= 16916 E BROADWAY AVE
ADDRESS= >,'ERADAL.G WA 99037
D.E,ST4=
DE.P T H=
PHONE= 509 924
R / W=
CONTACT i NAME= FALOC GARDEN CENTER R PHONE NUMBE R = 509 926 891 1
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
e`ti
r-.. PEP
ith-'uh It �t'ft ft')t'1t'ft'9t jt7l7tIt'til'tt 34Il..tl.:ri..7t..Ii..k..R.:lt'R'N:'It P: � 'i ."IH ..••.. •_: FY ... PERMIT k'It•'tl'RR*fl'9t){k!tytN: St'b: h: A: * ]t"k R'St'lttt7l'R
CON T RAC T OR= FALCO GARDEN CENTER INC PHONE= 509 9.26 8911
STREET= 9310 E SPRAGUE AVE.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PROCESSING FEE
GAS PIPING
GAS LOG
QUANTITY FEE AMOUNT
:,. is it x*#ii'*ira'#*ie xjr it ie ri'ie'ie it ie n'ii'z:'ri'PAYMENT SUMMARY
I"il ( R
PAYMENT DATE
10/16/92
TOTAL DUE=
PERMIT TYPE
,RECEIPTt
9137
.GD TOTAL PAID=
25 . t00
1..00
10..00
R"m'hIt
PAYMENT AMOUNT
36.00
36.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL F'RMT 36.00 36.00 00
36.00 36.00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
''H'fr'9t..jl'.h'.h'****IEKl'*')l';t'***'R!t'****'**'!t"lr:p'. * THANK YOU 'R"R1C'R.":Y:'RP:9:'!tIC-'b.'#**)Eie*.yl'.jl'.R'Yt'1l'R':**3*P:
f � ei f$K . t