1991, 07-10 Permit: 91004096 Furnace, PipingSPOKANE COUNTY DEPARTMENT 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 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
PRil._iE::C; I• NUMBER= 000=6 0fi=6 ISSi_!ED PERMIT MI T DA iE:. 0700/9i PAGE= = t -)i
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PERMIT INFORMATION
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SITE STREET= (: } 1 .J i'}j t'! RAYMOND �� i �.. F'C . ...: .:. t....,i. _:: t f' ... i ....... i n' �� •i
ANE WA 99206
PERMIT Uw)1::.'= GAS FURNAI:1::. & PIPING
PLATO= :fi:= 000401 PLAT NAME= CLACK'S 2N i ) j
BLOCK:::: LOT= ZONE= AGSUB DISTO= F: -
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ryr)(_y ^ r x - I WIDTH= so %?E::E'•1-1•i::: ::..•a•,} R: W:::: 40
OWNER= EADS, MARV PHONE= 509 926 6866
STREET= 507 N RAYMOND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME=
f3 -;COTT CAMPBELL E NUMBER= 509 f4 i 3392
A{U.ELD.LN!r SETBACKS: : Fel Or;T= NA LEFT= NA RIGHT= NA REAR= NA
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MECHANICAL ':i"fT
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CONTRACTOR= OWNER PHONE::::
ITEM DE(iRIPTION QUANTITY rF AMOUNT
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PROCESSING
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PAYMENT DATE F';L:.l.'1::..1. F•'.. 4 PAYMENT fAif'ti: l__ N t
................................................
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
............................................................------------- ------------ ---------------
MECHANICAL
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ME::C:HANIC.'AL_ 1='RMT 38.0(-.) 38.0(—.)
38.00 38oOO 0()
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PRINTED BY: I,.j 1::.1'-? l) E:: i... ] GLORIA
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Project
Address:
Dept:
Date:
SPECIAL CONDITION CHECKLIST
Project
Condition:
Init: Appr*
(in) I (out)
Date received for C/O processing:
Temporary C/O issued:.________
Office file review by:
Filed insp finaled by:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
. Plans pulled for final processing:
Certificate of Occupancy issued:—. --
Date:
Date:
Date:
Received by: