1991, 07-05 Permit: 91004006 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.130$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
PROJECT NUMBER= 91004006 ISSUED PERMIT DATE= 07/05„91 PAGE= 01
** ** i•************** *3* *3** PERMIT :ENEORMATION ***'************ ****** '***aR'p'
SITE:: STREET= 3709 S WOODRUFF RIP PARCELO= 32541 -2012
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTAL.L.. HEATING EQUIPMENT & GAS PIPING
PLATO= 002086 PLAT NAME= PONDEROSA ACRES 4TH ADD
BLOCK= LOT= ZONE= UR 35 DISTO=
AREA= 00000000 F/A= F WIDTH= DEPTH::- R/W:=' 60
m OF BLDGS= w DWELLINGS= 1 WATER DIST =
OWNER== MILLS GILBERT PHONE=
STREET= 3709 S WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STURM HEATING INC., PHONE NUMBER=: 509 325 4505
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT::- NA REAR== NA
:**** ***********************ai* MECHANICAL.. PERMIT ************ *'ri***********
CONTRACTOR=: STURM HEATING PHONE= 509 32.5 4505
STREET= 204 E INDIANA AVE
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE. Y 25.00
GAS HTG EQUIP+ 100, 000 BTU 1 15.00
GAS PIPING 1 1 .00
ate'* *********** '3r****** '******* PAYMENT SUMMARY **iriili'i *****k******* **'H'****n
PAYMENT DATE RECEIPT;: PAYMENT AMOUNT
07/05/91 4434 41 .00
TOTAL. DUE= .00 TOTAL PAID= 41 .00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING;
MECHANICAL.. PRMT 41 .00 41 .00 .00
41 .00 41 .00 - .00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
**'*ai'*ac*******'*'*ai******3i********* THANK you ** ''******ai****a{ak*ai'kh:at*' 'tl'b:*'b Al'3 A'Ai 'A:
SPECIAL CONDITION CHECKLIST
Project
Address: ____ _ Project# __ __Use:_ — — —_
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept,of Bldgs. ------ --- — --- ----__ _ _—_
Special Insp.Final Report
— — — — — Hydrant( )
Lock Box
;".'t_. �_
�.'-- !, -i!•,1 Y '+t. :+a.��'..:.Q.a1•yp{. .i: .11^IY 1t.-t . . ,1 f :'t"1 f . ?p 3:,,. ( ,.p i+i.1 .i.It `e :iii-( !r'!F yi ?!i ii•i+t`.
..rr.._._.. ... _.—.--_ _— Ti
_...__ ._
77:7777
Engineer's__ RID/CRP
RPa 1 Ptars/Imp.roYem,ebts.
tF
Planning— r. S:•: 1:1 1 Bonds: 4 1.' ( 1 yF i ; 1t i !
:..4.t _ .,: .., x;11:; .. , 1 ,. ;�1 � ( �� .. .. .!�'t 1 t
1..1 F' ':f: ?P 7 :4•i. .. ':C ...,t..,i...0}l':'.'t :C :'C".t!"'.^.:. •
i .'t .l irt:. i
..... .: ... .::.-:a
it .
Utilities _— _ — Double Plumbing 1
ULID
.4 .'t : '.'.:�...t: :.+�.N.dk.a.:h•-yw i. :!.,:.:.,::V F 1„:, . ...'{ i : . .. 't•'t•:'t'..'1l..,:..• :S. _:.1 .' :i +t ,. .i-.+.,,. >�.
Other %`
---- — — i t 3 t . .71:
"***`***********`*`***********THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY******************************
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:____ ._--._-- —_— - ------_.____ ._______ ---_.-._