1991, 04-03 Permit: 91001558 Mechanical, Plumbing FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(5169) 456-3675
I certify that I have examined this permit/application, state that the information cr,tajned 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 latus 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 orcancel 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. ////,,,ff�
NER UR E EJCL APPLICATION tj!_3 _9,OW
OWNER OR AGENT DATE
ROjECT NUMBER=: r }i r
rind?iiiif iie iiErnidatiiii;t *w** '_RMI,. INFORMATION ***********a****************
ADDRESS= ,SPOKANE WA 99216, .
- -PERMIT USE= INSTALL HEATING EQUIPMENT / GAS COG & GA PIPING
,
,3333..:. ,3333,.,.:.
1 :j1::::: 002776- ... r �:. ,� _3333 ',,: <;.}Ti r.. ._ -i..; l.. ��. G4TS' .r..t i)�%}
I-L..r1,PLAT NAME= '.':.. r. 33.33.. i<Ir.:
AREA= 0001210 :
P/p= " WIDTH=
DEPT .
4 OF 3LD.S DWELLINGS=. WATER -DIST ..
PHONE= 509 9265 7701
PERMIT ... DATE=
.)/".11 _:t''Ai E-::= 01
Dai ER= SHANE, i,HRREi...L
t;
: ,...
:_,
�{uE (}V!
ADDRt::S ; SEOit Ai ;: (, '216
[:ON"fAf:T NAME= r-`, ,'3333. i GAS .`.:;li::f;'', :i: f:: iii: ,^., R1::.i:::r"t l: i,_ • 'PHONE NUMBER
BUILDING SETBACKS:. FRONT= NA LEFT= NA Il:li;;l-I"i':::: 'NA REAR= jJ
********.**fl******.********** MECHANICAL YEi1IT
3*ii.96d6it..h.iq.ii-;r;i..h:- rk* ii ii k di- isd #3*• e***
CONTFtACTOE=°= A—I GAS'S:':'VICE & REPAIR PHONE=.07 722 3704
,S'TP<II%_T 511 N PARR RD •
ADDRESS ::- SPOKANE WA 99206-
.
9206 - ITEM DI:_,f L:lt.l.l-',! .I.1_ N G_Ji( r'.AMOUNT
•
PROCESSING FEE
GAS HTG .r:G�(.j;:F'.:i ii[;: t;i)t, BTU
GAS r= �: P T N C;
Gr LOG.
.:.. 3333
3.3.3.3• ..
it.'a:ri..ii.h.ii..X..h.'.i..ii.^.9F:^. ii�ir ie ai:.1i.g..iE-.k. ii�vi �if �n: �x�or vi�dr �ni �'i�9 i!"i r.1�1 ..{ 1; i,]I"I�i F:i r. 'f +r ii��ii�ii�i@ii�di��ii��lr ai;�ii i *rk *dh **
PAYMENT NT DA')E RECE_IPT,i • PAYMENT 'AMOUNT
L. . . - . . i
_ 04/0a"/9i i-, 1:3 . se: 00.
TOTAL_ DUE= TOTAL.. PAID= 50.00
FEE
.,: ..
PERMIT TYPE! hl'_E AMOUNT AMOUNT PAID FtriOONT OWING
MECHAiNICAL. PIRNT 50-00 50,00
50. .00 ...
SSED BY: JOHN LARSON
NTED BY :. _IOH iil LARSON
u.iid¢rri.:,i4ii..i::{;..xlii.dtr.h(iihi#.iiiiiiii..*..u..**)*.** THANK
cqJ ii-hii@3ii3*i
13:3334113.3. ii ii..a.".ri. ii.ii..*.ji..k..--i-a;-1**ii uii
Project
SPECIAL CONDITION CHECKLIST •
• Use:
Address: Project #
•
•
Condition:
•
Special Insp. Final Report
Hydrant ( • )
Lock Box
Init:
(in)
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds -- -
Double Plumbing
ULID
Appr:
(out)
"""""""""""""' THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY""""""`""""'"""""""
Date received for C/O processing: Plans pulled for final processing.
Temporary CIO 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-
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Condition:
•
Special Insp. Final Report
Hydrant ( • )
Lock Box
Init:
(in)
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds -- -
Double Plumbing
ULID
Appr:
(out)
"""""""""""""' THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY""""""`""""'"""""""
Date received for C/O processing: Plans pulled for final processing.
Temporary CIO 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-