1991, 11-27 Permit: 91008250 Furnace, Gas Log, PipingSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 MOADWAY 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, 1 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. �1
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROjECT NUMBER= 91008250
ISSUED PERMIT.
f(-27
DATE= 11/27/91 PAGE= 04
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Pi7RMIT USE=
PLATO-
BLOCK=
.. OF
T' ....tj l? t.''..
t.: T NAME=
.:1:':1: ?!iv
17501 _ Al -.K, I F ?1
6:: 4 Z.
j^ A i fl . l•' t...:: _:: 18553-0103
GAS FURNACE, GAS LOG, ,. ".? PIPING
0005C) PLAT NAME CC)F =:.BIN ADD TO ixRi:: ?::.NAi:N ...
00t:)Z' }}'!!. :): 0 ;•'• I jig F WIDTH.- DEPTH-
.I'
": DWELLINGS= .} WATER e:.R. ) f.:.> ? ....
MILES, RICH
ix1� i::.t:: Vj::il.:ftt: .4� Li
BART1:,1f i,
FRONT=. NA
PHONE- 509.922 1 -1
AVE
99016
PHONE NUMBER= 509 922
-LEFT- 1'' ? fa RIGHT- NA REAR- E , a:{
•. •• .• • • •' •' •• '• •,i •• •' •• -' •• •• •. .. •• •• •• •• ***K**********************
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) -..-, : t ) 7+ ..) }' t t 1 t. x ? °tj °. �.: 1 °it•t ?V .!. !.: i•• +t... °'r:. �i ? "t
CONTRACTOR- ) : tt HEATING
STREET= ?
t ?f- 1!`•?, t'•.1:1 ::
(A'{ i t i,)1,: i::. t) t.. .. i f ' ;. -i ! {. (.:+ 1'� C: WA 9920
1:TE: :tit DESCRIPTION
FEE
GAS EQt'—:i00,000>BTU
A/C 11'4.0 • PHONE- r!09 922 5':j'':•°o
-) AVE. 0003
GAS
GAS OC
[.,!?Ula1`•) ; .1. t t• FEE , AMtO1f N ?
.. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. . .. .. . .. .. .. .. .. . „•, a ::M E. .. ..
.) ?.:,(• .) ?• ik -F: ik !N •P: •F::u: - }k :i {• •j +r •P: ik 4Y i{: •ri.. _!,..),. �,..1V i +: iti •i;• i +: 'lt ik ik •P: 97 � • � •t ? °I i::. ?'`} � ..`: i. j i i 1'! (� t't i • }i• -1i� •! +: �f +: �1t• :�: 9r a; •;e..: {.*.j(.. } {i •Pi :4 ; }r : ;• * j {.:;f.:t(. ;i• iui •f+i i¢ * •it; ;3•
PAYMENT DATE
11/27/91
TOTAL DUE=
PERMIT TYPE
MECHANICAL PRMT
9072
0o ior:L.. PAID-
AMOUNT PAID
............. ...............................
.49 t }
FEE AMOUNT
49.00
PAYMENT AMOUNT
)'J
AMOUNT OWIN.C,
.0ii
?.: 1"-. O tE ,3 S E D .. i •j t-? i. ;. t:4 i. ? A ..I t O
PRINTEt? BY: ,,1U1...1 :..r; ?(-,
:::.,H(-************************* THANK you * * * n 9i * .. ...... . ...t r ? I h P b F P 9 h )t
SPECIAL CONDITION CHECKLIST
Project � - `. _ � - ,-- -�=- �-- ..� e\.)
Address: Project # Use
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID /CRP
Easements
Road Plans /Improvements
Bonds
Planning + I Bonds
Utilities Double Plumbing
ULID
Other
!nit: Appr:
(in) 1 (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.