1991, 12-03 Permit 91008332 Heating EquipSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 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 DATE
OWNER OR AGENT
APPLICATION
PROJECT NUM}tER= 91008332 ISSUED PERMIT
DATE== 1 e?!03/9 1 F AGE= 01
»•it•**it•:**it•it•*it****iFit•*ititi@itisi,•*n* pFRI'1.E S INFORmAT.EON •***ii••N:***ai*iF-ix*--ii-*it*#*rk•»**. *ar
SITE STREET= 11612 E 8TH AVE PARC:E::I...;:=_ 21 5•4=1•-91 1 7
ADDRESS::= SPOKANE WA 99206
PERMIT USE= HEATING; EQUIPMENT & PIPING
Pi._ATO=:: 999999 PLAT NAME= RANGE
BLOCK:::: i...OT=:: € C1NE== AC;F. T r l::s'TO-: F
ARE::f=i::= 00000002 F/A= A WIDTH= DEPTH::= h;'1,'_::
OF BL.DGS=: i 4 :DWEL..L..TNC;S= i WATER D I ST =
OWNER== BROWN, HAROL_D J
STREET- 11612 E 8TH AVE
ADDRESS : SPOKANE WA 99206
PI•ii)NE.::= 509 928 2023
CONTACT NA'r1E::::= A & QUALITY HEATING INC. PHONE:: N1. MBER= 509 928 2023
BUILDING SETBACKS: FRONT:= N/A I._EFT= N/A RIGHT= N/A REAR::= N/A
F . ,
.u..�. •h:..it..�:• ��: •;:• i�: �� �• �• k: •�• �: •;z; i�; i;: �: * it• •�• * •�:• �• :,ti •p; :� �• �:- r: it• rt !-. C' HF•1 rt 1. C.: A I... F' F.:: Fi m 1: T 'a: •ri. *.A..iF ie •>;: * it •r: -p: it h:• * * iti is it •ii #.- -h: ik iE x• -a *
CONTRACTOR= A & M QUALITY HTG & R_EC INC PHONE== 509 928 2100
TRI..:E::T- 12710 E:: 1:N:i1:AiWA AVE
ADDRE S= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------
PROCESSING FEE:. Y 25.00
GAS HTG EQUIP<100,000>BTU •i 12.00
GAS PIPING i 1.00
c x nt riik r r*ai)r*i*iTia ki!**it iPAYMENT S 1� i i Y *i**t*iti***********inr*r x*n
PAYMENT DATE:: RECEIPTO PAYMENT AMOUNT
1 2 0:3/Cj 1 9149 38.00
TOTAL. DUE= ,00 TOTAL PAID= :h8 `10
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT COWING;
MECHANICAL.. PRMT 38.00 38.00 .00
38.00 38.00 h00
PROCESSED BY: DOHI.TROV:ICH, ROBIN
PRINTED BY: DOrMITF OVICH, ROBIN **ii•ik•i+:a...ri..iiit•it......it.:iii.**ii•***its-it•.) *.x..h;it•*:. THANK you 3l*it•.•*-..it•it•it•*'b:•............. •iEIt*......it•it',.•k'k.*3'**
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