1991, 05-15 Permit: 91002605 Mechanical Fixtures 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 loc law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF / APPLICATION / -� 9/
OWNER OR AGENT ,a- - Gf/ DATE
PROJECT NU"lR: 91002605 ISSUED PERMIT DATE=
`1F : _r , : 5, , ! PAGE=-: C
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3*it A R 1 A A A P A A h}t*A at••li••}t h..p..A:*'/ h }, A A•},.• E^`E I'':?" .. .?.?" ... ',Ni ..o! 'A'ik'P:•'P:'P:11'h.•b•***.A:iL n•jk.}4*9i'*i?•P:'A:*'A:'A:'A:•!k P:
SITE STREET= 4102 N WOODRUFF RD ",RCEL4= 16543-095
ADDRESS= SPOKANE WA 992
PERMIT E::':: ..Y A,_. FURNACE, WATER HEATER, A.?. CONDITIONER & PIPING
i•'t._r••t £4_. 00086PLAT NAME= F.I:E::E...D,.: f•'t..1 SUB
BLOCK= s
UR-3,5
,, " ,. e
AREA= I ,E : £ WIDTH= %? ; "l
: 143 . ; x= ,'
4 OF B 1...!_F(.Y,::.... ? 'N' £1 i�1 E I...t....I.N t:; WATER DIST
OWNER= KENT , JEAN PHONE= 509 926 0.63
STREET=-- 11is}'''. N WOODRUFF RD
ADDRESS= SPOKANE 1,4A 99206
CONTACT A NAME= STEVE RICHARDS£' PHONE NUMBER= 509 483 ;};?!;.'?
BUILDING SETBACKS : FRONT= NA E...EF:. FHT::.. NA REAR= NA
.. .. ... ::,...CU. .,,
��:it•i?•a:•bi�ni��t)�;�A;•b'�}t••n•�r•A:}�:u:•n:•�a•R••�c ri�te ac n�ii•A;?i•�i�;N••}a tt ?::.�..:r.?r••??...?_:f••t._. .:::.^•'?`'?... ? ....................................3.
CONTRACTOR= _ ,
HfRa. ?'.?-.E-?;(tY HEAT f•}/t.: E-`E'•.t.t?`.... •• 509 • :` ' , ,,:; .;
STREET= 615 W CARLISLE AVE
ADDRESS= SPOKANE WA 99205
ITEM Ei1 C:}F::i,£:::F'1'.7:FP''TICiN QUANTITY F"F::F:: FtE•1t.1._?`.
PROCES
ING FEE
00
GAS WATER' HEATER ? _?.'..00
GAS I"I £is _ , F' r 1 }0 , tye:}t9 , t. ? :„! 1 ... ..
GAS PIPING;
00
AIR ?_,iylND: ... O`1 1....: TONE i -12,00,
••A:*3•N:tit•.};it if*...*3*3 3::A:*•3*)i ri•3 ii 3*3*. *ri••}h* F' , r r , ..
• ;�t�i�T';'�?E'.E�1 ? :�I.J i"1?'�t••t E'�`.Y• 7k:�•�t i!•i+.�3k it�k 3�:ii�ii�a`ik ik i?�J?-i?-t!•it tt i�ie.3?..y.it i,.?,:if
PAYMENT£ :}ri £•?::. Ft'.?::.(.:F:.iF•'T4 PAYMENT AMOUNT
05,+'15/91 29.I2 61 ,00
................................................
TOTAL )!,J' . 00 TOTAL PA.E.D:: 61 ,00
PERMIT TYPE t"EE AMOUNT AMOUNT PAID AMOUNT OWING
MEC;HANICAF_ PRr'i i• 61 .00 61 ,00 „00
61 ,00 61 ,00
PROCESSED BY : tlVDtt , GLORIA
PRINTED BY : WENDEE...! GLORIA
*.}i****•R•**:a.:p.:Ai A****4i..*•Pt**•hi*)i**•*•**** THANK 7 1 I E. R**.•A•.it*.}t•*:Ai.N:•R•i?•.A:•R•it i?•:n:A:•A:•A:•P:***•Ar****•} **
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
_ Special Insp.Final Report
Hydrant( )
-- Lock Box
Engineer's__.__-- _ RID/CRP
— — Easements_
Road•Pians/Improvements . •
Bonds
•
Planning Bonds
Utilities_ -- _ Double Plumbing__-_
— —. ULID ww
Other _
•
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY************`******""*********
Date received for C/O processing: w_ �__._ ___ Plans pulled for final processing:_
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: _- Date:
Filed hasp 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:__ --_—_--