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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 ::::.:•.:,•.::;.a..:•.:c.:,•.i::::,:::t sa:,r........ ......... ..!...}.:}..:......,,..,. ..:...,.,•.•:: } ':':•` t i!'V 9.!r 3`• i' k 3...};..!.,a;.....!�:i+.i+;i•.•.ji.3�:sr..Ji..7?.:...J:?...},�•r;r.j.y;..,:. J?!-.S+.r+. ::J?J:,+.7+.3?:..7•.:,..:?r•.'7�.:�.?-.f?:...s.J...r.3. l...';!•.�. , ,,J t-:�i i'4 i`(t-`'s i .,. .. .. :. .. 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= : t 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`. y " : :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 .•N.,....... . . •�.:.t... ."!.t_J......... . ......N I '( .. .. .. .................................. ,.7...•......... :. ...-Ay,-:�',.•.N•.i ,.. »?M, ,..: _ :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, ...... ................................:.::,,:**** •."..x.:: .a{.n:i}j:* j.ti..:.:..:g: j......:J...........,},..j}.. ..•H'..•A:9.'1.1.}!i i. 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: —_—