1991, 07-09 Permit: 91004063 Gas 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 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 constru io
SIGNATURE OF _ APPLICATION Y/ ?j
OWNER OR AGENT VVV DATE
PROJECT NUMBER= 91004063
ISSUED PERMIT DATE: 07/09/91 PAGE= 1)i
*******•x3* •****************** PERi1IT INFORMATION *******•***••x•; ********•;>:•>r**** •*
SITE STREET= 4819 S LOW WAY CT PARCEL..; 04442-1703
ADDRESS=- SPOKANE WA 99206
PERMIT USE= INSTALL GAS PIPING
PLAT@:: 001742 PLAT NAME== MYRON ESTATES 46
BLOCK= .a LOT= 3 ZONE= UR 3.5 D:[ ET4== E::
AREA= F/ A= WIDTH= DEPTH= R/ W= 50
A OF BL.DGS= 4 :„ DWELLINGS=i WATER DIST :=
OWNER= F'URYEAR , J.R. PHONE=
STREET== 4819 S LOW WAY CT
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FE:RRELLGAS PHONE NUMBER== 509 922 5070
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT::: NA REAR NA
* :*** ****•>t•;t•>t*** ***** ••x***•*** MECHANICAL.. PERMIT *•>i••x* :*•;{ik•;R*:a•>i•**•ha•;i•*•a•*;;••;~•n;*
CONTRACTOR= FERREL_L..GAS INC...
STREET= 7011 E TRENT AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY
PROCESSING FEEGAS PIPING
MINIMUM FE::E ADJUSTMENT
1
PHONE- 509 922 5070
FEE AMOUNT
25.00
1 .'S)
9.00
***3t•3t•***3l**it•**at•**********fit•*k• •** PAYMENT S(JMMARY * • • • •****•* • •*********** • •** :
PAYMENT DATE REC'EI:PT4 PAYMENT AMOUNT.
07/09/91 •451 0 35.00
TO'iAI... Dt.1E==
.00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAIN) AMOUNT OWING
MECF•IANICAL.. PRMT 35.00 35,00 ..00
35..00 35.00 ..00
PROCESSED BY: JOHN i_.ARSON
PRINTED H r' : JOHN L..ARSON
*tt* x•x•* h•** • ••x ••x*x•A*•r:****•;r•x*r:•x••tt THANK YOU *Aii•iitt*•k)E*ii*##*•ii**n••b•*•k:n:u :.it.*',i••r•*k•h:*
SPECIAL CONDITION CHECKLIST
Project
Address* Project # Use*
Dept: Date: Condition.
Dept. of Bldgs.
Engineer's _
Planning
Utilities
Other
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Apad Plans/Jmpresven►ent$..' •
BOndsi: •
Lk
Bbnds
Double Plumbing
ULID
Init: Appr:
(in) (out)
—7-777
•
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing
Temporary C/O issued Certificate of Occupancy issued:
Office file review by Date
Filed insp finaled by Date
Plans pulled for final processing
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans
Plans returned
No response from owner/contractor - plans destroyed:
Received by:
Date: ___.. _ _.