1991, 08-09 Permit: 91004886 Gas Log, Piping-r�r al.•
SPOKANE 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 provis'ons 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/applicatio nd 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 I • i regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 9.: j -•,r { .. {. .
APPLICATION
DATE
oft/9(
ISSUED PERMIT DATE= 8/r09/91 :::Al:E:::: 01
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)DALE WH
PERMIT USE= GAS LOG & PIPING
PARCEL:4:- 27541-3704
PLAT4- 004131 PLAT NAME— TERRACE VIEW
BLOCK= }• r 1 LOT= ZONE= 1 i j� .....
OWNER= i<f]: i•E I'; ±'i.1..1"Ir•'1"r.:.1...
STREET= — 23RD CT
ADDRESS= ‘, )DALL WA 99037
NAME=
—OM 1...i't+..;fY1..1..1.i::lN
WATER biST
1T AAA)- VERA
PHONE- 509
92/e.,
1 36
4425
PHONE NUMBER= 509 922 2000
BUIL i:aSETBACKS FRO.fNT:::: NA LEFT= NA RIGHT- Nt: REAR= i.:r{:.
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CONTRACTOR= #`d A ? !. r i CHIMNEY SERVICE PHONE= v:,0 r 326 7:33;
STREET= 27 W BOONE AVE
ADDRESS= ;i1'"'1,±?\:11'JE: WA 99201
ITEM DESCRIPTION QUANTITY FEE AMOUNT
---
PROCESSING ±"1::.I:. 'r. 25,001
GAS PIPING
GAS 1._ fl i:: f ' :3 1)1."•:
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PAYMENT DATE i °:::...: F .. t: ? y : PAYMENT AMOUNT
08/09/9i 5478 36.00
TOTAL ? isi... Dl...1::.:::: ;)!:! TOTAL ? AL }.: A.1.!_l::: 36,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
M1::.0:Hf•1NI1^,:A1... ?.:RMT! 3'6.,yiy:i 36„00.00
PROCF [' :::, i ......
PRINTED {,} '_ : t:\lj.:.l•'? ti?::.?... t t.:!?...1.!?'{. IA
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SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use•
Dept: Date: Condition: Int Appr:
(in) 1 (out)
Dept. of Bldgs.
1
Engineer's
Planning
Utilities
Other
Special insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements':
Bonds
Bonds
Double Plumbing
ULID
'****************************** 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.