1991, 09-05 Permit 91005563 Furnace, Wtr HtrSPOKANE COUNTY DEPARTMENT OF BU `IGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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/appl ication 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
:'RO J ' _ T I''?i-J�'.BE ;;=: Y100mos ISSUED PERMIT .tt-'i T l::. z:: •. ;`i':.... :'r,:i; If_=- ' i'E
'.p?,`?lyl'1�?F IF 4t TP.1:er'J!'9PA: 9S 9T m:rr?t 9P P: A: �}l: tint tini dE ]t 9� PERMIT INFORMATION P: P:RIP'1:'It?t"lY tlt 9i Ji.jtP!'li:)t"li. jf tiY'P: 9T 1?'A":b J': P: ��y :li•
SITE S ! r.;!_. __ 3 ._ 8904 t: :,, aA ; a _ AVE::' f-Ii<�_ .... _.. � c..::i � .... ., _ti 'I =.
r_S iD E S::: SPOKANE WA `JQ_'l._
PERMIT USS:_= i,:,{=?,;. Fa_;RNHCC:.1 WATER HEATER & PIPING
!" S... I-7 i ir'_ 001288 PLAT Pi r..? I". !::.:" ft l' 1 t..!"f .L tiS i..i Iv S t.:? D U
AREA:::: I:.E'A== r' W.L ii Tt"!= -. ., ... DEPTH- 'r'ti/W- r..
4 OF {L. il(•. `." i.' DWELLINGS- ? WATER i%:.:.t. T __
OWNER- ;RU TREn;N, fANDRE: W PHONE= 509 926 . ....1S
ADDRESS- SPOKANE WA 9902
CONTACT NAME- 3::. i... _.. !::d'ti i"f _{i... i PHONE i'J i_; M j:i L:. p:=. 509 se'y ; .
�J-
BUILDING SETBACKS: t"1'ti li i1!1'..' ivi=1 LEFT- NA RIGHT- 1•.?(=! 1'{4:L n:SR:x NA
'P!'RfP!'It•.R••n'lt-J:'H'lt.:JC.)•)•jn:1:i Jyi:lxi.)i::l.:Yi'Yt'P: fl :li.:li.:11i Pi Ni'R'Ti'li.:l(• MECHANICAL PERMIT
CV!':I _ !'�i lli^..1: �_! HEATING ry AIR l.: l_J!\ll INC PHONE- 5'J :o-' "•1x� _j.y .ADDRESS= SPOKANE WA 9902
STREE
1!-- 1_n:.A:_:{._.i'! QUANTITY
--- —- �'-- --AMOUNT
--
PROCESSING FEE Y 25.00
GAS WATER i-EATI[Y 'i 'ii&00
GAS TG EyOu"Ir"1100,01MO&TU
�1
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'JPY:P:'Y:9:.Ik.A..Ik::: 9: `V.'T: i': Op'➢: 'R: N: 9P.IPA..Y: Il -P: 9:: 'R: T: :p 9t'N: �A'N: PAYMENT SUMMARY d:i Si i:}'ii Pi Ti d�i'!t'S'dl'Yi Pr l:i ik Pr jE'P:: ]l"It"If $i'li"Ri'J:: k'1l"R'Y
PAYMENT DATE rta_;.:.._.t.'1,. PAYMENT AMOUNT
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TOTAL a)t.i E = :. i0 TOTAL I (tt... E'`fA .I. I}::_ .<"i'Y ., >.?.:_i
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
..___.._.._..________—_ f,_....__.. _..___—__._._-- .__.. __---__._.—__—...._..
PROCESSED BY: 6?i_!v?_J YL i... , i_v Lti tC .1. (-?
PRINTED BY: aiENDEL., 1_-i_OR i. iA
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