1991, 04-09 Permit: 91001697 Mechanical Fixtures 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
y.•+,!_*f!:':'.!::?.:•1..,*!.1?;,}:,-.„:,:..:::,,-.}.. :.K?.,;?;. PERMIT ... E k..E. .. .£.+E..' . ...31''-.! ...r'j4':u: 9tr:}; !?..j:.:} tt:•'1:"'j 9t F li•R• }..,.....1...!l :.;.1,:
SITE SINEE = -
ADDRESS= SPOKANE wA 99..:.'i6
PERMIT USE= GAS FURNACE, WATER :.• ,
PLATO= 002a49 PLAT NAME= WELLESLEY MANOR 3R.C. ADD
OF BLDGE=
CONTACT NAME=
STREET= 15919 E WELLEELE's( AVE
ADDRESS= SPOKANE 1,,A 99716
GARY
BUILDING SETBACKS : FRaNM, NA LEi- V= NA RIGHT= NA REAP= NA
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F:clinJTRArTOP., BARTL:: PHONE= 509 922
5000
STREET= 11316
PROCESSING FEE
GAS WATER HEATER 4
:.1 :?j. .i{. ::{.k
TOTAL -DUE= , 00 TOTAL PAID- 49...00
rPERMIT TYPE FEE AMOUNT -.t-.}i
:
OWING
MECHANICAL - PRMT 49.00 49-00 ,00
PROCESSED BY : WENDEL, GLORIA
PRINTED WENDEL, E,E I - I f•:E.
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# __Use: - -_
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
—__ Hydrant ( ) --- —
Lock Box _ -
Engineer's__ RID/CRP _ _
—_�__ Easements
Road Plans/Improvements
Bonds
Planning Bonds _.
Utilities_ Double Plumbing ---
ULID
Other.— _
"""`****--"".."'"""`THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY* """"`""..""`..'"'""""
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: