1992, 06-15 Permit 92004336 Furnace, Wtr HtrSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 992_60
(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 th .uanceofthis permit/applicati n and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcanc .rovisionso yst orloc I wregulati construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construe o i
QQSIGNATURE OF APPLICATIO � /s //
OWNER OR AGENT DATE
PROJECT NUMBER= 92004336
36
ISSUED PERMIT DATE06/15/92 PAGE-:: 0
3i**3iri3c3i:*3i# -**•a•*•hiN:363{*3i3i*****# F'isRmIT INFORMATION �. - -JE 3(• 3f 34 3k 3i• 3!• i!• •A: * * •Y: '){..p...y} .j,.• !:' 3l * Jk * 3>,• *.p: y!. ,!.. ; .p.
SITE STREET:::: 12009 E BROADWAY A V [= PARCEL4= 45161,1162
ADDRESS:::: SPOKANE WA 99206
PERMIT (.!S[ == GAS FURNACE & WATER HEATER
F'I...AT g::- 001852 PLAT NAME- OPPORTUN I TY t TP:. 1 ---1 .� '. I: a (:; .. i 4; ---35
BLO('K�•= i._CIT::_ ZONE-= UR� —3.` 0IET „:::= r
ARE A::= {:)000l')000 F' �'A== F W ]:I>T i i DF Fr ),I:: ...'i.i-
f5';
OF i:n...Dc;S = 0 DWELi...:[NGS== WATER DIST ::::
OWNER= ROARK f i) I:t F HONE= 509 92i 6660
STREET= PO Tfl> 292
ADDRESS: SPOKANE: WA 992.07
CONTACT NAME= I'J B ROARK PHONE:: NUMBER= 509 921 6660
BUILDING SETBACKS : F"RONT= NA LEFT= NA R:[C;`H`T-= NA REAR-- NA
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CONTRACTOR= OWNER PHONE::::
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F r: c: Y 25.00
GAS WATER HEATER 1 10.00
(SAS I•• ITC; EOUIF'•¢•1 0o, Ui'io BTU 1 15.00
(AS PIPING 2 2.00
3i fi• 3i 3* 3 3r 3i.3. *. 3. 3..*• *• * 3F * *3 .*. 3. 3..*.* •* 3r •3 *.......3
PAYMENT SUMMARY
33E3t*3i•*3****3{•..3.3tit-h: :.3i34i3...k::.3c*3i•*
PAYMENT DATE: RE:ci= :[ F'T.: PAYMENT AMOUNT
06/15/92
4524 52.00
TOTAL_ DUE= .00 TOTAL PAID:::: 52.00
PERMIT TYPE FEE AMOUNT AMOUNT F'AI:I? AMOUNT OWING
i'1I:.:CHANICAL. PRMT ?a'.:ww 52.00 0O
-------------
....''ill 52 . 00 .00
PROCESSED BY: F ORRY . JEFF.
PRINTED BY: F (:iRFY, JEF"F
..
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