1991, 03-26 Permit: 91001379 Furnace, Piping 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 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• :•isions of any statp or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OFAPPLICATION -� / •__ 9/
A/��,
OWNER OR AGENT �f/.i /}///y/% _ DATEPROJECT NUMBER= —Cf
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91001379 ISSUED PERMIT DATE= 03/26/91;:`'+''i,
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SITE STREET= 1007?;•`.i•' `. WALNUT RD t 'r i-'.Ei r:...- 20544-1515
•(xii)A)RFe,'c::.. SPOKANE NE WA :}:°{'y.•.:�,:6
PERMTI UEE= is i-i,.. FURNACE ;.Y PIPING
PLATO=? Z...... ::•t:... a :!••r PLAT -NAME= .?.\' ... ..TY PLAC
BLOCK= LOT=T_ f t i UR-3,5 i:':S'1't....
•t+• O?" .c.'?...Al�••,.i_- .et. DWELLINGS= '? WATER DIST __
OWNER= t%I ? ? ?:R , DON?..N t'. PHONE= 509 9 9.... . 6763
STREET= 100 ; ,ti WALNUT RD
ADDRESS= SPOKANE -WA SPOKANE—WA99206
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CONTACT NAME= t•':I i,:;,.: ` , t t i;j E:. PHONE?ONE N[E M B E:.Et== "'r':'%`>` ?:> :.y.%, 1 ..
BUILDING . F.. .., t..:K SFRONT:::: :V A LEFT= y' a RIGHT= NA REAR=!:.} NA
•P:*•A:4k•R••P:•F:4k?!'9Y:.-k'P:3?•4t:•ft:3!•.P::;•it'P:•P:'/:.• •n:*•}C??..};.pt m i:.'..:i'i A N._,,.,¢ i... y.:?::.:';?"?.. ? **.)t.'n:ik 9t:R•P:-}y:•R.n:.N..n.*.p.}t.n...P:•}}:•}':'}`,''P:'P:iS:'F::'.
CONTRACTOR= BANNER FURNACE C & FUEL CO. INC PHONE=NE= _?t'}';' 535... 1 a a
STREET= P 0 BOX 4346
ADDRESS= .F'fl i<f••+?''•}E WA 99202
ITEM?::.I"t DE:.Sf.rl":!.E' ? .t.•iN QUANTITY FEE AMOUNT
c:: ,t;7
PROCESSING FEE
GAS ' ? G Qt I i^ t. 1 i':t . t:!t'S0 i,;f U 12.00
GAS
PIPING 4 ...00
*K*** *** ************ * *****::. :. PAY :` ; SUMMARY er} } t } : 1Lt *****5 .: ..} } . slk3 *
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
03/26/91 1534 41 .00
TOTAL DUE= rtt tO ? At... PAID= 4i . 00
PERMIT :Y - : E - AMOUNT i ": % Ni PAID Io MOUNT OWING
ME'..:HANIC:At... PRM ? 41 .00 41 .00 0 .: 0
41 .00 41 ,00
PROCESSED BY : ?:.
WNA.1E?... : GLORIA
PRINTED BY : WENDE_.,, GLORIA
**4!:- THANK Y_„ ****.x- 'P.:.F:Pi}i 7i}:4*3*Jk P:'A:.}k'.R.:......
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mu: Appr:
(in) (out)
- -- --
Dept.of Bldgs.
spon»al |nop.Final Report
--
Hydrant( )
_-
Lock Box
Engineer's —_ RID/CRP
Easements
Road Plans/Improvements
--
Bonds
Planning Bonds
__ —_ Bondo
•-- —
-- —
Utilities _ Double Plumbing
_ --
ULID
Other �
^ ~^~~~~``^`^~^`~`~~~^`~`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY^`~^^^~`~`^`~~`^~~~^```~
Dote received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dote:__
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: _________ --'--- --- ---