1991, 05-03 Permit: 91002298 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 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
PR s. .. ...f. i'!i i:vt,.f�.•R:::: 91002'2Y8 .1.,.. ,.+t.1E D PERMIT DATE= FiP5 .. ._ PAGE= 01
1
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SITE STREET= 816 :.i WILLAMETTE ... : P f`i!'c,[•
ADDRESS= SPOKANE WA 99212
PERMIT i. t..J',i:.:::: GAS PIPING FOR MOBILE HOME
: qq .BLorK. i $: i � PLAT
t: v "• I + } GROVE
LOT= 6 ZONE= UR-7. 5 DIET4-
"r . . .
, WIDTH= :
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DEPTH-• • , 50
.
! OF Bvr. 01,4 FilINGE= 1 WATER DIET . C{ Rv . `!
OWNER,:N... T ' ...,,.
' STREET= P s•; t:i i,i t, 477
{!f,.!t«Ij':.t::. .... ` i.+'i'ii:.......cF3 ..,.....:.. WA 99016
CONTACT
NAME=
,rE . r. .. .. ... .. PHONE
AT
1•ii i 3 f '! _ '+t.. , %� j..::,i3NT'... , t NAR.I.tG. '- .::•A14,-,•-j'._:A`.
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: :1 2 P : :?. ?:.? i*:j: jJ *AK:, X Y t**N ! t ? kry* MECHANICAL E ' ' % _ i tik i . . . t . .* f!; () i** ,:k**d*
CONTRACTOR= PHONE=
ETREET= 1006 N RUBY ET
ADDRFEE= EPOKANE WA 99202
,IrEm ,::.. : :., : ,.: s o r+7 QUANTITY AMOUNT
•
Pkui_.:LESING 25 , 00
GAS 0 PIPING
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:TOTAL DUE- ,00 i0iAL 35 ,00
PERMIT TYPE ,...E AMOUNT AMOUNT je'{..{.i.... AMOUNT OWING
MECHANICAL PRMT 35 .'00 35,'00 ,00
35 .00 ,00
P R tJ i.:i::.:::,::i::.:..` ;i : : tk i::.i''(h i::.L, GLORIA
GLORIAPRINTED BY : WENDEL,
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9!::!':•A::'.'•,.• !:. t:. ,,.. ,..}..}k•K•:,�? :?,•.,?,???T.,,.:+i Ti .it. THANK;`!i\ .y'..i i, .. .. ,....k 7...7.:-.!. ,•.7.
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
U L I D
Other.
----"""""'" --THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: . Plans pulled for final processing:
Temporary 0/0 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: —_—