1991, 03-13 Permit 91001060 Htg EquipSPOKANE COUNTY DEPARTMENT OF BUILL.n1GS
W. 1303 BI LOAL?W.AY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certifythat 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 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 NUI.ICR= 91001060 ISSUED PERMIT
T
DATE.= 03/13/9'i PAGE= 01
ii)r!E:**d:.ie*diiEtie#viip*did£drbtitisFiP!Eifie*** PERMIT INFORMATION cr"am* ***su:r t s rii a: :e *a[:y y*
SITE: STREET= 17405 E BROADWAY AVE
ADDRESS= LIBERTY LAKE WA 99019
PERMIT USE= INSTALL HEATING; EQUIPMENT & GAS PIPING
PLAT = 000129 PLAT NAiM_E= BACON' S AD.i, TO G
ZONE=
AREA= F/A= WIDTH=
r,,:: BL !:1GE=
,t. :i,Wir.:i_L_INGS= 1 WATER ?:;i.;x T =
OWNER= FAGAN, TOM
STI EET= 17405 L. BIROA.DWAY AVE
ADDRESS= GREENACRES WA 9901.5
PHONE= 509 928 5
CONTACT NAME= A & M QUALITY HEATING INC. PHONE. NU BER=.
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR== NA
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r."
MECHANICAL 1 _ y? y j n rnn xmn dr YbF br�ri' Pi �ri ar
CONTRAC T tO!R== A & f 1 0UALITY I I T G Gr ELEC INC I' HONE =. 509 926 2100
STR:E.ET= 12710 E I:NDIANA AVE
ADDRESS=. SPOKANE WA 99216
ITEM DESCRIPTION
QUANTITY FEE 1: AMOUNT
PROCE.i''i:ING 'e"!'_E 25,00
GAS 7"I T tr EQ 1PC 1 00, 0 l i.t T U ) 00
GAS PIPING 1 '1 .,i-i tt:_i
2100
#n; hwe F r idt iim EEE e dt d3g de t c s t iNpAYMENT SUMMARY xdF 3#iib t ;ar..nvr r e... .. .. .. .. .. .. .. .....
r. n)rrn:r T:rzr. a?ri-
RE:CE:IPT4 PAYMENT AMOUNT
03!`1 3/9 1 1195 :38. 0fi
TOTAL !SUE= ,00 TOTAL PAII1:=3
6
_00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAI:o AMOUNT OWING
MECHANICAL. PRMT 34.0E 38,00 400
PAYMENT
PARCH L4= 18552-2844
/)4
DATE
'iRtOCESSEG BY: JOHN LARSON
PRINTED BY: jOHN (._ARSON
.. .. ........ ............. THANK ,
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