1991, 07-17 Permit: 91004277 ACSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADOIAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3676
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 orcancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
SIGNATURE OF �WA / APPLICATIONJ " /
7
OWNER OR AGENT nA?S F DATE - J �4 Z
PROJECT NUMBER= 0004277 ISSUED PERMIT DATE= 0707/0 PAGE= Oi
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ADDR an VRKANE WA 99206
PERMIT USE- AIR CONDITIONER
PLATO= 004369 PLAT NAME= MIDILOME 5TH ADD
•,
BLOCK= 2 LOT= 2i ZONE=
FR DISTO=
0 OF B±._D!:r,:.... 1 0 DWELLINGS= '! WA#?::.1,' D.T.S7- ::::
OWNER= CHAPEL, BONNIE PHONE= 50 92S 0277
STREET= 3735 S ROBIE ST
ADDRESS= SPOKANE WA 99206
CONTACT NAME= HEAT TRANSFER PHONE NWIPER= 509 320 3400
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA WAR= NA
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CONTRACTOR= HEAT ± i Ri••1?NSt"ER .LNt:* PHONE= 509 328 3400
STREET= i008 N RUBY ST
ADDRESS= SPOKANE WA 99202
„u. T:i%v,'C?=!'3:Pi':f:i:1N QUANTITY FEE AMOUNT
------------------------- -------- ........-__................ ----
PROCESSING FEE Y 25.00
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PAYMENT SUMMARY 'P: •i+: 9+: •n:.�: •ni •n• •!+: •Ni .+i •Hi •h'r •hi •}+::n..t!• Pi N• •i+: ',+: ;+: -ft i+::+': ;�: �+i iE i+'r
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/17/9i 4783 37.00
TOTAL ! At_ DUE:::: .00 TOTAL t AL.. PAI = 37.0-'.)
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ................................................ —------------ ----------------
MECHANICAL
..-..—_.....—...—......---- ----
PROCESSED BY: FORRY, A5Q,-.
PRINTED BY: FORKY, JEFF
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Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
r
SPECIAL CONDITION CHECKLIST
Project
Condition: Init: Appr:
(in) (out)
Special Insp. Final
Hydrant(
Lock Box —_
RID/CRP
Easements__.—
Road Plans/Improvements —
Bonds
Bonds
Double
ULID �--
*********'**********"*`**"**"** 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:
Plans returned:
No response from owner/contractor - plans destroyed:
Date:
Received by: ___
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASH19GTON 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
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Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning—
Utilities—
Other—
Date:
lanningUtilitiesOther
Date:
I
w
SPECIAL CONDITION CHECKLIST
_ Project #----------Use:-
Condition:
__—_—_—_ Use:_Condition:
Special Insp. Final Report-------.----
-
eport—_____—_. — _
Hydrant ( ) _
Lock Box
— RID/CRP
Easements _
Road Plans/Improvements
Bonds
Bonds
Double Plumbing—__�
ULID
Init:
(in)
Appr:
(out)
***"THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY'*'*************
Date received for C/O processing: Pians pulled for final processing:
Temporary C/O issued: Certificate of Occupancy
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
Received hv:
Date -