1991, 01-09 Permit: 91000082 Gas Log, Piping rf - ...
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 cal law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION / q9
OWNER OR AGENT �.�L+ DATE
PROJECT Nt"Bj {= 91000082 Vr•1 + • -.: (: - i ii . :�:-? PAGE=:
^ 0
I,:-,SUED - RMr
**********K***************** : ti" ? ? INFORMATION l*J **j ******) 9J :k4 (1 * j }*** . t
SITE STREET=REE:.T= 30•± ,r' S Wi„if:i!it...Aia)N RD PA ti..,::._.:;E::::: 27543-1611
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS LOG & PIPING
PLATO= 9 ? v77 ; PLAT rwMr . t tL1 + t1fESTATES"" OF B l...:o :+:'` •!!• DWELLINGS= '?
t,}t:,;t•rr:.l•.,-= f,l.ff;B i.i?;; • !•'1+.:r(•'; 1 .f PHONE=
STREET= 3013 E t JI::IC:I:.?I..I.I4N RD
i... t:.. :S= .)i<.A a•1(-. WA 99216
CONTACT r ( ` C : ! fi , : _ SMITH PHONE ';ii 7,1:7A 44'^i
BUILDINGSETBACKS : FRONT= NA LEFT:::: NA RIGHT= NA REAR= NA±
********* *********Ka********** m: '"A t ItfLPERMIT ? .. ,„ Jrk c*9na ***l : **n * trn
CONTRACTOR= WAYNE SMITH HEATING PHONE= 509 3'28 4431
STREET= 102 E NORA AVE
ADDRESS= SPOKANE WA 99207
ITEM jE :i " 1 ' 3 ( , QUANTITY FEIAMOUNT
PROCESSING F. f: :,,::: ,t 0
GAS PIPING i 1 ,00
i
GAS LOG 10.00
*** ************************K**; '
L:f.:±Y j"!1::.?`: ? :.:t.!?"i!'?f••±?.?•( * *:** :k*:******************
PAYMENT DATE± I ?::. ,'..:.......... r. PAYMENT AMOUNT
07 !09/9' ii :: 36 .00
TOTAL DUE= ,00 TOTAL± i-7?... 1=t}:t.;-1:::: 36,00
PERMIT TYPE I"EE AMOUNT! !•±r;i,il_N PAID AMOUNT OWING
_.
!1ECI"If-1NIc::AL.. I''RM•! 36.:00 :76.'00 ..00
36.00 36,00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED •1 I..:t'4 r.i 1:::i...+ GLORIA
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: | / Condition: !nit: Appr:
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(in) ! (out)
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Dept of Bldgs
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~'^^~`~~~^``^^~^^~'^^~~^'THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY~`^~~`~`~~~~^~``~~`^_~
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issuod:_ Certificate of Occupancy issued:
Office file review by: ___' __- . Date:
Filed insp finaled by: ____ Dote'
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: