1991, 01-11 Permit: 91000107 Gas Log, PipingSPOKANE 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 unders • • t the issuance of this permit/application and any subsequent inspection approvals or Certifi • es of Occupancy shall not be construed to
give authority to viol . e or can • el the provisions of any state or local regulating construction, . as a warranty of confo j ce with the provisions of any state or local
laws regulating con ruction.
SIGNATURE OF i i AP'LICATION
OWNER OR AGENT %I •ATE AK(
I ;`.: ?:.J±:: :C:: T• NUMBER= :: •i 0lli+(i'i tj ;'
. :OA..1.E:::: ,;;j'1 .r'•1 •i /9i PAGE= ry'i
ISSUED PERMIT
*******R****************** . ?R M ,; ;
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SITE ;., ..,. 1, ..y ..., 4 .1... K... AVE i'' A I'S'.1. i:' L 4 _:: 15544-1015
t- !;r;t+ F: ,•,:;..: ::? OKANE WA 99216
PERMIT = INSTALL GAS LOG & GAS PIPING
PLAT4= 002755 PLAT NAME= VERA
LOT= f.. I.., . t) :ti ••f n. __
AREA= F / {.:? = F.• WIDTH= 90 DEPTH= 3 .'. j:;14:::: 30
I: OF 't•ti •`•if• S:.= .t ..!. ijW ' I INGE= '?
PHONE= 509 926 7543
STREET= "— 1 . ?:.7 { }8 E AI...K. ). AVE
ADDRESS= •' <+I°`OI'; {:'tlJI::. WA rY 1
CONTACT [ NAMF "::: :I ;: : , :BIR PHONE NUMBER= 509
BUILDING SETBACKS: FRONT= NA LEFT=
... ?:' !" T = NA RIGHT= NA REAR= NA
S'. ' 76
'n: 'n: 'n:* 9 +: 3,..P: 9r 'n: 'n:.n..),..x..F: 7r .1,: 'n: a,..n: •P: 'n: N!• .n: 9,:* y,..,,..)).*.n..),. MECHANICAL F e::. I'{ ?'! :I. l **********K*************
CONTRACTOR=
u.' i...i N ? R (. t..: # i•, i R c:: OWNER
ITEM M D :: i :: R l: i.: T.:I: O N
PROCESSING FEE
GAS P:I:P:I:Nr.:,
GAS L)(.
QUANTITY
F: :FF. AMOUNT
.T.
1,00
10,00
i S 9 9 ii• ! H i 1 N ?. 9 n :. 1 fi N t k ! g :)i t ! } x 9 r ; 9 PAYMENT 4 ? : : ? ° " t : Y 9: : t t 7 t 9 f : i 9 i s t i F; * t F t ! t J j j tt ? 9
t
PAYMENT ii {•:t I ::. R1:. !..: ::. .7. !• } 'il' PAYMENT AMOUNT
01/11/91 148 :36..00
TOTAL I rA!i... .t ?I..HE:::: ,00 TOTAL i ? F F... !°'f': ?.I.1`i::; 36.00
PERMIT TYPE
MECHANICAL PRMT
ratl"#i_1E. NI
36.00
AMOUNT PAID AMOUNT OWING
36„00 ,00
76„00 .00
#° I1.i. #Q ! I:'.D BY: WI::.F:FDEL : GLORIA
r :u: n: n: k $i a +i n; )k )* i+: dk )t Ai ii i+: n; )# i! ! +i i +; i): i,; :),; i+; N: § n: n: )r n: n: THANK Y t„ t t,_; t {' Ai ii * 'P: P: i +i i!i i i Fi ? +i P: i +i 'j +i 'ii' %+ ;ni t + +i fii +: it Pi i) i Ai i) +t 9 +i )L t
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
Dept:
Dept. of Bldgs.
Date: Condition:
Engineer's
Special Insp. Final Report
Hydrant ( )
Lock Box
RID /CRP
Easements
Road Plans /Improvements
Bonds
1._.i ; ":
Planning . (, } Bonds
Utilities
Other
Double Plumbing
Ut_ -It3
Init: Appr:
(in) I (out)
*****************`********`**** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ******************************
Date received for C/O processing: Plans pulled for final processing.
Temporary C/O issued' Certificate of Occupancy issued*
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner /contractor called regarding the return of plans: Date'
Plans returned: Received by
No response from owner /contractor - plans destroyed'