1991, 07-02 Permit: 91003930 Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
V.. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information t,ontained 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 proc2ssing. 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 construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
" P- .. . _ NUMBER= r : _ r ,9_ 1 ISSUED
_ ;, E_ ' .RM ._ " � F . 07/O2/91 P f:e i
s::'. :•.a:.5r.::.s:a..s;.ac.:•.ar.••.:t:•.:::::.'.:::'.:+'.:•:,:.:+:.*:(.}j. N:t N E i N ****:.,f:*************** *******
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SITE
" _E r - " E r ,._ 2717 : RAYMOND i } '- !C"± y : 29544-0410L:•t1!)„!1',{:;,E<<:::: SPOKANE WA 99206
PERMIT�"{!. s a..!�::{::.::: 1_y f••t � PIPING �•,..,,{. FUTURE !•�l.i�;j`•vr•°t k.:... ?.!'� ,.. .:,.i..
t
PLATO= ,r}L.IL.l:`;••s._, PLAT t •!r••t., BURNS' :�. y�••..• ;,}t;-i� ADD ;ii,f�; j,V . r.' 'r;ii..
BLOCK= 'j I s t-: 70N = AGRI t!1 t •"r — ..
AREA= + } l 0L ; , irfc . WIDTH= ;
ti ; DEPTH= { : ;: A :
! _A : : —
,". .!,• ?{�?{::.{ .+..,1 t.v,.: WATER DIET
OWNER.... cc .,:-
.... {"t i::.�{::.{'::....{.{':+.to t:`}1):<t".1::w PHON'''.:_ 509 'i'.... .. ... .......F.�S
STREET= 2717 E RAYMOND RD
ADDRESS= SPOKANE WA 9`::1;56..
CONTACT
1; CT NAME= ROBERT { -
; i, IN r
PHONE I `
t _Y =
509
.. 0620
BUILDING : : • , n: c • FRONT= NA1 -FF: NA RIGHT= NA REAR= NA
.......................... .. .... . { !L.t,.'it•:n.:++..{:*:......q.:r..Jr:-W;:lj..i;..}+.....•y:l•.'lt'•i''3j'
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{ I.if,:...T UR .. 'OWNER PHO{
ITEM DESCRIPTION QUANTITY
Y FEE AMOUNT
PROCESSING FEE25 ,00
- •{
GAE PIPING 1 ,00
MINIMUM FEE ADJUSTMENT 9 ,00
;:i.-*:..a.:s t:,':•.:::'.a..:'.'::•.:......:::..:.;.: :}.:..yj•:a: 1' i I 1 r't 1"?St: ;'Y ...:....t 9?'..4+:. P:7L't:•P-x-. :,:+..t 3 4f•:F.......a a a .
.... }..},P.:L:!,!'!+.!L!L;.,!+.:++.}e ee 7L 9+.!+.1-.,.}.!.!...,.!$9-9 !. t^i•:!i{�11::,t'`•° { ::. .... .. .! '
PAYMENT 11 E R P:.3.:?':..t.Pe O PAYMENT AMOUNT
07/02/91 4344 35 ,00
TOTAL DUE= TOTAL (`
PERMIT TY E 1..a.•:E AMOUNT AMOUNT{ 1-'AI{,} rai;i.i%.ifs # {,{Itr!., ...
1.1 1,r1CAL. PRMI :37.5,+;:1 :! '}ri ,00
PROCESSED{_!SE BY : JULIE ,:;1•Yi•'1 ' ssr
..........
PRINTED :'i : JULIE ,.'.'I'{f':1 ?1_{
` k 1 R: L9Y k s uF! ,in .+ L ; F P13 : t L d *aa: * THANK i 2 j [;+.: j :. 7 .Pi1:**a j **:••:•*ii : ?:+•:+k" n} . l
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 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: _