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1991, 07-30 Permit: 91004601 Heat Pump, Gas Linea- SPOKANE COUNTY DhPARTMENT OF BUILDINGS W. 1303 BROADWAY 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, 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 his permiVapplication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the pro, .1 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. SIGNATURE OF , / %J���p�r�/ AAPPPLEICATION s7 4/ OWNER OR AGEN ' _,� (•( r PROJECT NUNxtER-. 91004601 ISSUED! PERMIT DATE= .:7,7/30191 3 jt 3 ii # p # ii # * 3E iF 3 # it # it it yi iE f # : if •p i .. ' r ' .. • INFORMATTnN # it k i4 }i * ti yt # ii * # ii d # # de iE 9e fi # 9t 3F r,' r SITE STREET= 9403 E MAIN AVE E'`AROE::l.,4- i7543-1227 ADDRESS= SPOKANE WA 9?2O6 PERMIT I J E. INSTALL. i FEAT row, & GAS LINE: PLATi'-' 003707; PLAT NAME= BEARS ADD (BLUE LINE NE Oryi.,.Y J tiAfp K= OT= F 4300N: ii—_. PTH- Or. 'r.:Si..PG_-- 7� ,,t4 DWELLINGS 1 WATE'F t.DIC'T = STREET= OWNER= = J9ALDRON3 F 1 Fil�YMr"��F: F HON1';;: 509 92 ADDRESS= SPOKANE WA 99206 c.f JTACT NAMF_ SAM WALDRON PHONE NumRFR= 509 4".! ; TNC SETBACKS. FRONT- NA LEFT- NA RIGHT= NA REAR- NA # * M •h:• •X * Y( d{ K b4 •I( ii• ,ii• °)t- 2k ti!• * .* # # * ii # >r # it x •?i # k M E:_ f r H A N .I. T, : _ PERMIT * •)t• •It i * 4{ * * M• * * * * * 'M �y:.f{• '!L T: !a• •M• •it• 7�: CONTRACTOR- OWNER p'H ONE =- ITEM DESCRIPTION i?i`ANT'. Y „h 3w" l'iN PROCESSING FEE t, f)t , i7r'} GAS PIF'T.NG _ 1,0n A T HEAT viitif' --•3 TONS ^•;rtr - tr*#**-r•x.**4*#ii#*it****i4 •ii #*** PAYMENT SHmmARY *h3r#it••M•*i>;#***#*#*3t •#*v***+ r.�r PAYMENT DATE_ ECFIPT 07/30/9 5146 PAYMNT A M:lIINT ------------ TOTAL DUE- ...a) TOTAL. PAID:_. 3fl . 0;•' MECHANICAL PERMIT TYPE FELE. AmOl.i'JT AMOUNT PAID AMOUNT OwIrJr MECHANICAL PSMT _.,._. 3 s.0^ - 73,00 39,00 7S YD PROCESSED B Y . JOHN ; ARSON PRINTED BY; JOHN L ARSON ------------- .00 4******************************* THANK Y O E •bi iE iir 3E # it•.* .K ?r iE •}i• ii• # iE •3L• ii # ii• ?i• * # •# di• * K . # Tf # : i! : )k SPECIAL CONDITION CHECKLIST Project 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 0 ' Bonds Utilities ___ Double Plumbing ULID Other !nit: Appr: (in) 1 (out) ********************** ********* THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ****************************** Date received for CIO 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: