1991, 04-19 Permit 91001938 Furnace, Wtr HtrSPO�—ANE COUNTY DEPARTMENT OF BUre:DINGS
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 ofthis permit/application and any subsequent inspection approvals orCertificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of anysta a orlocaawregulating construction, ores awarranty of conformancewith the provisions of anystate or local
laws regulating construction. �J
ii
SIGNATURE OF I // � APPLICATION 9 _ O/
OWNER OR AGENT �_�(��1����.��nn�46� DATE /
PROJECT NUMBER= 9100933 ISSUED f'1=:RMIT -DATE.= 0409/91 PAGE= Oi
1!1[fF�lJl lr �l'ir ft#ftl!)l )t•3!lf �f:lt 3t Rlt!l fl lE 7l 1l �Ek PERMIT INFORMATION ie kae ve k3rk#le irridt �e iF dr iF iF �E ai•ve ie it#ririir ie k
SITE STREET= 9324 E MISSION AVE PARCEL*= 17542-0735
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE, WATER HEATER & PIPING
PLAT*= 004835 PLAT NAME= OPP.TR. 1-354
BLOCK= LOT= LONE= UR-3.5 DIST*= E:
AREA= F/A= F WIDTH= DEPTH= R/W=
OF BLDGE= 4 DWELLINGS= -i WATER DIST =
OWNER= BOOTH THERIL & DOi OTi-Y PHONE= 509 926 5794
STREET= 9324 L MISSION AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ROY COLELAND PHONE NUMBER= 509 328 4431
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR, NA
c.u.tt..c..x•x�car ttutt•�triacarara�a�>fx•>rx� •tux xx f MECHANICAL PERMIT
CONTRACTOR= WAYNE SMITH HEATING PHONE= 509 326 4431
STREET=-102 E NORA AVE
ADDRESS= SPOKANE WA 99257
ITEM DESCRIPTION
-
QUANTITY
FEE AMOUNT
-------------------------
PROCESSING FEE
--------
Y
----------
25.00
GAS WATER HEATER
i
i0.00
GAS HTG E.QUIP000,0000TU
1
Q% 00
GAS PIPING
2
2.00
to ex.A.ri..h..> uttxuxxtt•x•axn ttatxxx fx Eaz� PAYMENT
SUMMARY
PAYMENT DATE RECEIPT4
PAYMENT AMOUNT
040 9/9i 2184
49.00
------
TOTAL DUE= .00
TOTAL PAID=
49.00
PERMIT TYPE FEE AMOUNT AMOUNT
--------------- -------_------
PAID
AMOUNT OWING
-------_---
_------------
MECHANICAL PRMT 49,00
49.00
_---
,00
-------------
--------------------------
49.00
49n00
m00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
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