1991, 06-21 Permit: 91003523 Mechanical Fixture SPOKANE COUNTY DEPARTMENT OF BUILDINGS
i 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 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
PROJECT
,i3c :" NUMBER= 91003523 rSSUED PERMIT DATE : 06/21 /91 PAGE= 01
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SITE . (tEE ; _ -19012 ( VAi11zJ FY A y± i "f r _ . n-
r...... ... ? ...; 3
ADDRESS= GREENACRES WA
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FERM-i:#.T USE::= :.STr"t#...#... HEATING EQUIPMENT.t.r' .
9.; PLAT F:iATt... ! r, VIEW 0!::i .H ADD
AREA= rtn= WIDTH=
DIST
OWNER= -c # TC-Er
, GARY PHONE= s!:!`;i' 535% i•i °y.S:y
STREET= 19012 I. 4A#...#...i..xi,ihi•i` AVE
ADDRESS= i;REE'NAi RFS WA 99016
CONTACT A" T i`.AleiE::= S1'UR'.M HEATING INC, PHONE NUMBE.::R::: 09 325 45 0 5E.J:i:#..-DING SETBACKS : FRONT= NA LEFT= NAE RIGHT= NA REAR= NA,.
-r:•i,:•)r*•ie•i4•i!•-r:x•n x•„•,!••n••x•u:•'n:-!:•r:*•h•h*•ii•ii•h:n:•'n'a;•b:-ri• MECHANICAL F''E::R`'i:#:T •!e*•r:•r;•ii••n•i!-yt..i:,.ii..ii-•n:•n:•n:*•u••!r•r:•r:to:n:•:*•n:•r.••r:
CONTRACTOR= ; UR ' HEATING PHONE= 509 325 4505
STREET= 204 t::. INDIANA r• V E:.
ADDRESS= SPOKANE WA 99207
ITEM E::M DE:.:l.:RIPT?:ON QUANTITY FEE AMOUNT
,...-
GAS #'1 TTp t::.QU.#.E' t 'i l.tt;;s: ;•/!_!ty %t:i .•) 1 t
2.00
........ .. -' F �t 'M E l T S N• 'Y ****************K*** *******•lti
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PAYMENT DATE F Eci::#:F'r:„. PAYMENT AMOUN .
06/21 /91 400'5 ._7 00
TOTAL DUE= „00 TOTAL PAID= , !' .:0i:!
PERMIT •.•:7:;.:t:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL " - # 37,00 37,00 .00
37,00
»;' ,;I)() .3..e, {»i,.i = 00
PROCESSED BY : .Ii,»11"#N LARSON
PRINTED BY : :..OHN LARSON
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant )
Lock Box
. .
. .
' ,• • •
• •
. . • •
Engineer's RID/CAP
Easements
Road Plans/Improvements
Bands ' • *
• •
. . . .
„ .
•
. „
Planning • Bonds
, . .
. r. . .
•
Utilities Double Plumbing
UL1F.)
Other
. . . . . . . . .
. , .
****************************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: