1991, 12-05 Permit 91008403 Gas LogSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.. 303 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 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 NUMBER= 91008403 ISSUED PERMIT
DATE= 12/05/91 PAGE= 01
jt.RY.'9t') ********X**R'R*'9k'AR*** FERMI T ]�_ 1 O ..*. IIYrORfIHIIOI�'�t'1CRbRAF:RA'iTltitxiChittit:P."H"'it'iF3t"uiER:le'It
SITE STREET= 10603 E 'VALLEYWAY AVE PARCEL 17544-0913
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS LOG & PIPING
PLAT4= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= 108 LOT= 6 ZONE= NFS DISTT= E
AREA= F/A= F WIDTH= DEPTH= R/W=
OF BLDGS= E v DWELLINGS= i WATER DIST =
OWNER= CULP, SYLVAN
STREET = 10603 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FALCO GARDEN CENTER PHONE NUMBER= 509 926 8911
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
PHONE= 509 926 3773
9F'RP:fk*3t'•YFA•'ht.p:'.Y.'.jt':Rb:Yih'A***A*P.****YF'7l** MECHANICAL PERMIT 'IfR')tR'*3f')tP:f('R•Il* *j>Yt'3t'St
CONTRACTOR= FALCO GARDEN CENTER INC PHONE= 509 926 8911
STREET= 9310 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS PIPING 1.00
GAS LOG i 10400
*tier§i'1rieri'ic•* * e'ri7i'iiieieiri *****•i'•'***tii•** PAYMENT SUMMARY .. . ........... ,S �i t'1I"1f-iKE xdt 3r 3r 3e'khi!ir'ri'ir'�r x�r �e v: iE �i'#ieriir'ri'3e ii'sc
PAYMENT DATE RECEIPT
12/05/91 9235 36,00
TOTAL DUE= .00 TOTAL PAID= 36,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT
PAYMENT AMOUNT
36.00 36.00 ,DD
36.00 36400 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
'}ele'le)eF:'Y:RH'•h:'F.•§::P.'li.A:'IF')<R]eje)e')•:'7i'^k311Huu'u*R.T* THANK
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