1991, 05-28 Permit: 91002857 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 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 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 typ,-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
OJECT NUMB E: = 91002E357 ISSUED PERMIT DATF= 0';/2R/91 PAGE= 01
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SITE ,.:t..f... ! .:: .;i!:;t�� N SARGLNi RD .......»Vii....• . ......
ADDRESS= SPOKANE WA 99217. ....
PERMIT USE= i-•,f x::; FURNACE, WATER HEATER ; N::r
:. LH. 001132
r • . :: , tANAME=
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',!• OFx.=?._;_•tv:'i.... ...• DWELLINGS= 'j WATER , DIET
OWNER- :,... M..,.•,•r . ,, PHONE=
> "•„!E:::. 926 .:597
STREET= 304 N SARGENT RD
ADDRESE= SPOKANE WA 99212
CONTACT NAME= PAUL
:HI! E NUMBER= 509 722 hS},.?.'J
BUILDING SETBACKS : FR1.F 4l ;':... NA -LEFT= NA RIGHT= NA REAR=I:..AR:::: NA
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CONTRACTOR= HEAT TRANSFER 3...R f„!..: PHONE= 509 .`: • '',t 3400
STREET=i -' i !;lt;t;-; !'v. RUBY ST
ADDRESS= .,.P fn N 1' 99202
ITEM DESCRIPTION ,,.!i.!fil. ? .I. I' ..... AmOUNI
" FEE !j.j`j
•.,f.�{S u.i f-• �,•'l HEATER, = t 10,00
PROCESSING
GAS i..! ! f ,..l.'!I P't 1 I.J?:: i.}!:.%.Y!J t.t.'I U 12,00
2,00
GAS PIPING
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PAYMENT DATE RECEIPTO PAYmENT AMOUNT
TOTAL DUE= ,00 TOTAL PAID= 49 ,00
;...;...,:.,...;. {"!:.M.•,, PAID AMOUNT OWING
t t I'"I... FEE!.. t��..?`. I ? - AMOUNT
PROCESSED BY : W:;.N.DEL GLORIA
PRINTED A? iA}3. 3`�A:L.....J GLORIA
9 i 4$ iP $9P. } PC* r k 9Pt PP95 : P1** t: : THANK ; , „ .ii* .'* f.fi i!!i 3i : a ; =P: j : i i: PjE ;
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 OFOCCUPANCY 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: