1990, 12-27 Permit: 90006937 Mechanical FixturesSPOKANE COUNTY DEP,NT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that 1 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 lq al law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF � APPLICATION ! z — 2 7 r [ie'
OWNER OR AGENT 44 DATE
PROJECT NUMBER=: 90006937
DATE= i 2 /90 PAGE-: �Si
ISSUED PERMIT
************************** PERMIT INFORMATION*****•*******3t•*********3tYl•** *
SITE STREET= 9703 E:: SHANNON AVE: PARCEL4=• 08543-0130
ADDRESS= SPOKANE WA 99206
PERMIT USE-: INSTALL.. WATER HEATER HEATING; EQUIPMENT & GAS PIPING
PLATO= 002359 PLAT NAME== SHANNON'S ADD
BLOCK= i LOT= 8 ZONE= AGSU t T 7:4TO= E:
AREA= F/A= WIDTH= DEPTH= R/W::: 60
4 OF EiL.OGS-- i 4 DWELLINGS= i
OWNER= SIMPSON, RICHARD PHONE=:: 509 926 454.7
STREET= 9 703 E:: SHANNON AVE::
ADDRESS= SPOKANE. WA 99206
CONTACT NAME:=:: MADINA CUSTOM METAL CO. PHONE" NUMBER= 509 535 0014
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
•x*3i•*3i3t•3i:x.*3tx3i3i•*3i**3i3i3i3i*3{*x*3k3t3i•ii MECHANICAL PERMIT*3sxii*3E3f3i***ii•***•**3i•3i3k.A*ii*3i*
CONTRACTOR= MEDINA CUSTOM METAL COMPANY PHONE= 509 535 0014
STREET= 1504 E SPRAGUE" AVE::
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITYFEE AMOUNT
PROCESSING FEE 25.00 __} _____._..___ 25
GAS WATER HEATER i 10.00
GAS HTG E::GUIF`< 100, 000>I?T►..) i 12.00
GAS PIPING 2 2.00
*li•3i3i*•**33.11***3i**3c3 ******3313**** PAYMENT SUMMARY*#*ie3i•3i•ii•3t*x*ikii3i•3riiis3a•x*a31**3E3>:••Mii
PAYMENT DATE RE.CEIPT:k PAYMENT AMOUNT
12/27/90 8'5 i 49.00
TOTAL DUE= .00 TOTAL... PAID== 49.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
MECHANICAL. PRMT 49.00 49.00 .00
49.00 49.00 .00
-------------
PROCESSED BY: JOHN LARSON
PRINTED BY : JOHN LARSON
3iit*3t3i3i3i3G3r*3iM3i***1133****3i•k**it3tii3i3iii THANK YOU**x*3k********•*•*x:•x•ii3i3iis*3r**x3{3+:•m:• 3:x
Project
Address*
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
SPECIAL CONDITION CHECKLIST
Project #_ Use*
Date:
7.;
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
!nit:
(in)
RID/CRP
Easements
•..'
Bonds
Bonds
Double Plumbing
ULD
•
Appr:
(out)
********—************'*-- THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY *—"******"*—*""*************
Date received for C/O processingPlans 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: