1991, 05-22 Permit: 91002803 Gas Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASI*INGTON 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 additiolitil 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
,
!'•!'':t.::.i!...t: i NUMBER= 91002803 .?. `.•,:;t.l�::.?i ?'.?::.!'+:t'I!. ? DATE= 05/22/91 PAGE= :.
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:.t,;.j..,,....`, SPOKANE WA 99206
PERMIT USE= ,.v(•!:.r PIPING FOR MOBILE ,..:;?"{:.. HOOKUP
00 c)"7,R2 PLAT NAME= CHEETER HILLE ADD,
BLUCK= LOT= i ZONE= UR 3. 5 DIETO=
AREA= 00000000 i_• , !... WIDTH= DEPTH= R/ F.:::: 60
WATER
4 •..:! ;•; }l:r�:•.... •I n,• :,1 tf•!#::.i...?-'..!.liti:..r::r":: '1 D.!.•:. ....
OWNER=. REED, FRANK PHONE=N _:: 50:.i 773 7976
ETREET= 1610
BERLIN RD
....,!,1R1::. :,.. •' , !'OKANE'.. WA 99206
1";
CONTACT NAME= HEAT TRANSFER PHONE NUMBER= 509 32a 3400
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= HEAT i 'ir"1?•�aE!.?_.��.,. �.?:v... PHONE= ... .. 328 :..'Y'.,11;'1
r•!!.;Fi::... 100Q t�`'!.RUBY•!B•Y ar.I
02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
## '
PROOFTTTNG FEE
1 .I.1"'.f.NU 1 .00
MINIMUM....E. P'E E 1-i!.?..i t.!E ? M?::.?'t e
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PAYMENT DATE
?::. !:Et.,!::..!.! t '!!' PAYMENT AMOUNT
05/22/91 3127 35.00
................................................
TOTAL. DUE:::: :.00 TOTAL t.:A.1.D= 75 .00
PERMIT TYPE {.. .:.E AMOUNT AMOUNT! P'f•'iID AMOUNT. OWING
?s
•
MECHANICAL I'Y.?.t.:!•ii... `I''i'i"1~I 35,00 35. 00 .00
35:00 35, 00 .00
PROCESSED
PRINTED L . JOHN "; Yrti
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X
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
_ _. Special Insp.Final Report
Hydrant( )
Lock Box
Engineer's__ RID/CRP
Easements
Road Plans/Improvements —_
Bonds
Planning _ _ Bonds
Utilities. Double Plumbing
ULID _
Other
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing: .Plans pulled for final processing:
Temporary 0/0 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: