1991, 04-11 Permit: 91001765 Range, 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 thatfT 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 com r ith 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 issu. eofthisp- it/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th ovisions of any s ate 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
OWNER OR AGENT _A (//rT7 DATE
PROJECT NUMBER= 91001765 ISSUED PERMIT DATE:= 04/11 /91 PAGE= 01
x******sir*****3 * *3****aa:*** PERMIT INFORMATION k}r8i• •*#•iii•3t*#arm•ii•3i• **ii•* ri•*kYi•#ii•
SITE STREET= 1807 S WARDSON ST PARCEL:;:__ 2653i -020
ADDRESS= SPOKANE WA 99212
PERMIT USE= GAS RANGE & PIPING
PLATO= 001169 PLAT NAME= HEATHER PARK ADD
BLOCK= <' LOT= 8 ZONE= UR-3.5 1)1 S T n:'=
AREA= F1 A::= L= WIDTH== DEPTH== F:/W= 50
O OF BLDGE= 1 4 DWELLINGS= •I WATER DIST =
OWNER= E.VANOVICH MIKE PHONE== 509 534 0401
STREET-: 1807 S WARDSON ST
ADDRESS= SPOKANE WA 99212
CONTACT NAME= R DIXON PHONE: NUMBER= 509 535 5944
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
** tai*****•***•3****3***•x•********** MECHANICAL PERMIT M•x*******************•x* •
CONTRACTOR:- GOLD SEAL MECHANICAL INC PHONE= 509 535 5944
STREET= 5524 E" BOONE:: AVE
ADDRESS:- SPOKANE WA 99212
ITEM DE::SCRIPTION QUANTITY FEE AMOUNT
PROCESSING E'E:.E:. Y 2.5.:00
GAS PIPING 1 1 .00
RANGE 1 10.:00
•******************* •******** •* PAYMENT SUMMARY **********•** ** • •* • • *ii•**
PAYMENT DATE RECTI F'T'C: PAYMENT AMOUNT
04/11 /91 1985 36.00
------------
TOTAL.. DUE=:: .:00 TOTAL.. PAID= 36.,4 :1
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL.. F'RMT 36.00 :3600 .00
36.00 36,00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL_, GLORIA
*3 ********•*****************•**** THANK YOH *** •* •*•••x• • : •x x •*x: **• • * ••x• •*•;{*
4 .,
SPECIAL CONDITION CHECKLIST
Project
Address: — Project _Use:______ .___---�
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
_ — Special Insp.Final Report
Hydrant( ) _
-- — Lock Box — — — — — —
.. • •i-+ms's •
Engineer's — RID/CRP — —_--
Easements_—_
— Read Plerts/Irpproven eots .
Bonds
1 ,
,73
PlannmgtBbtit.s' .. . . —
., y. t ( :.< ,. .'. '' t'!i •: + ..,t._t,.__ ja- .. .rs -i V! }i (.w-.c•. P tr. '4 N.
— — — -- — 7.71. , .
•
Utilities Double Pltimbing -
- — — ULID —_—
!. . !+ .. + 1. . .. .. k ,'+w i:f'. ..'}I"1: 1. •I •:t••.. .. . . '; .i .. .. . .. ... .. t !t' :'Y'1C•1t:.
Other -- :• .
! :r
--- i� i,
.e .. •M1: :,..y: .:^—F t.._ .. .R •.. - .t. '1 Y .�. • -. .l .. .. x'1 '.1 it i' :K. .l( 1 .1'. .'11 •L' l .f
""******************"*******THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY******************************
Date received for 0/0 processing: — . Plans pulled for final processing:
Temporary C/O issued:___—____ __ —__ .Certificate of Occupancy issued:
Office file review by: _ — _ . Date:
Filed insp finaled by: ___ _._._ — _ . Date:_w.
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: ___ --_ Date:
Plans returned: ---__--_-- Received by: ________
No response from owner/contractor-plans destroyed:_ -__-