1991, 04-01 Permit: 91001498 ACSPOKANE 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 t ton m 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 stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
ADDRE%%=
PERMIT U%E= AIR CONDI.
PLAT4= 002S10 PLAT NAME= WALLACE ADD
BL K= 2
LOT= i6 ZO E= UR -3
AR[�= (500i0683 F/A= F WIDTH= i38
OF BLD0 DWELLING%= i WATER DI%,
OWNER= TERRENCE
%TREET-
�
ADDRE%%= %POKA.,E WA
PHONE= 535
CONTACT NAME= BARBARA FITZ',�'�a.D PHONE NUMBER= 509 489 ii70
BUILDING %ETBACK%: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**************************** MECHANICAL PERMIT *************************
• PHONF= 5O9 489 ii
`` --`-
ITEM DESCRIPilUx -' �v-��^ EEE AM;UNT
---------------------- ----------
PROCE%%ING FEE 25.O�
AIR CONDITIONER 0-3 TOr'2 i 2O�
*************************�**** PAY°r�T %UMMARY *******^********************
� -
PAYMENT DATE RECEIP' PAY�ENT
O4/,
TOTAL
PERMIT TY"'"
'IECHANICAL
.
• FEE AMC AMOUNT PAID AMOUNT OWINF:,
'-------- ------------ '-----------
37.00
37.00
P�OCE%%ED BY:. WENDEL, �LORIA
PRINT�0 BY: WENDEL, �LORIA
**************************************************************
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other_
Date:
Condition:
Project #
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit:
(in)
Appr:
(out)
*******************************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