1991, 08-06 Permit: 91004775 Furnace, Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
1W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(5D9)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
' t ': ECT NUMBER= 91004775
i004 " } ISSUED PERMIT
ERMiT DATE= 08/06/91 PAGE: :
1
Pk9. jPYbRh*P****p******** PERMIT INFORMATION
:•******it•:P:)¢it:!t-Jl b'k:14'A:il'•P.•?i. T'.h.:R'..'P:*
SITE STREET= 13605 E 3RD AVE PARCEL4= 22541 -9152
ADDRESS:_: SPOKANE WA 99216
PERMIT USE-:: GAS FURNACE ,: PIPING
PL..AT•a::::: 999999 PLAT NAME= RANGE
FIt 131'Ic :: LOT= ZONE= UN!{ DIST4= i.:
AREA=A,: t:f00e 17i;0{.y F/A= F WIDTH= DEPTH= i•�, Iii:::
OF BLDGE= 1 4 DWELLINGS= 1 WATER .DIST ::::
OWNER= DE GE::E::ST, BOB PHC3NE.::::
S'.1"R E E T::.. 1 .9r',05 i. 3R D rtv E:
ADDRESS= SPOKANE: WA 99216
CONTACT NAME='- ED MERTENS .... A R M PHONE NUMBER= _09 92 21 00
,.... :::: 4 RIGHT= • 1
BUILDING SETBACKS : FRONT= NA LEFT= r t••r " t.:-i•f T:::: nir•. !`°l::.Al;;::- NA
f1F R l Y i * k { C r*ipk A Pt k l* t C l P* {3P $ MECHANICAL F ! Ft ! ( t Pa******hki **** PihN*i3
CONTRACTOR= A & •i QUALITY T`Y` HTG & Ei...i:::i-: INC PHONE= 509 9'?ci :.'.10:?
STREET= 12710 E INDIANA AVE::
ADDRESS=~S:::. ;PClKANE WA 99246
:i:TE::ii DESCRIPTION QUANTITY FEE AiMC:tI,JN.T.
PROCESSING FEE: Y , > ,00
(:i A F; PIPING .... 2,00
00
iiN9i * k l 9 {i *R k 4H3i ) 3hi ) *) 7 h N) t iPAYMENT SUMMASY i9 ) P* k ft* t 99 *Pl N ) t i ) *93RPk k 7
PAYi"IE:N`i' DATE:: RE:C;EIPT4 PAYMENT AMOUNT
08/06/91 .>„fl, 39 ,00
TOTAL UE:::: ..00 TOTAL PAIr;:::: :59 ..00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
i"IEC:HAN1.CAL. F'RM`i 39.00 39,00 ,00
39,00 :.i.,00 ..00
PROCESSED B`r• : JULIE S i'1 A TT
__i.?
PRINTED BY : JULIE SHAT O
*•v;**•b;*'ii•*•ri••x•*•ii*•ri•it 3i•a:•ri••n:•:a:*•ri•*ai•**ai**`?'** THANK Y Ci i.l 'lk*k'R:P:'}e''JL:R'P:'A''P:}l•'1k R''/t'*H'N.'•Hl'*P:R•P.•'RXP.':A P.P:'P:•K•i+:
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 Plans/Improvements
— — Bonds; _
Planning Bonds
_.
Utilities_ — Double Plumbing_
ULID
Other— ;
*******************************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: