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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