1991, 05-29 Permit: 91002918 Mechanical Fixtures:mom �ma,. . -- ` ^
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WL13$3BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/^o,mvmat/^ovaoxommoum/opmm/o*vvnounon.ototomotmomw,munonronmmeumnunuouomumuuvmaonnvagentmuompn000mn rmit/application is true
and correct, and authorize Spokane County to o with processing. In additionI have reaand 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 // °,,L.C°.."., � - �� �� _ ��^/ .
� DATE
OvvmsnOnAGENT / ~~�~=�� �� ^ -� ^' " '
,
PROJECT NUMBER= 91002918 I%%UED PERMIT DATE= 05/29/91 PAGE= 01
*** ******* '*************** PERMIT INFORMATION ****************************
%ITE %TREET= 18602 E 4TH AVE PARCELO= 19551 -0643
ADDRE%%= GREENACRE% WA 99016
PERMIT U%E= GA% FURNACE, WATER HEATER, RANGE & PIPING
PLATO= 004143 PLAT NAME= %P-379 �
BLOCK= LOT= ZONE= AGRI DI%T4= r
A A= F/A= F WIDTH= i �O D�PTH= 2i4 R/W= 4O
4 O BLDG%= i � DWELLIN�%= WATER DI%T =
�
OR
WN = KENWORTHY N RMAN PHONE= 509 922 9184
%TREET= i5O8 N PARK RD •
ADDRE%%= %POKANE WA 99212
CONTACT NAME= NORMAN KENWORTHY PHONE NUMBER= 5O9_ 922 pi84
BUILDING %ETBACK% � FRONT= NA LEFT= N� RIGHT= NA REAR= �A ,
- '
•
t *********** ******************* MECHANICAL PERMIT **************************
^ \
CONTRACTOR= OWNER PHONE= '
.
ITEM DESCRIPTION
^ - --- QUANTITY
- - FEE AMOUNT
------- ---------- --- -- ---- ----------
PR CE% ING FEE Y 2 .00
GA WATER HEATER i i 0O
GAS HTG E p< iOO, OOO>BTU � i 12 .00
�c~ pIPIN 3 3OO
RANGE - ii �.00 i
1
************ * **************** PAYMENT %UMmARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
^OO
6O
O5/29/9i 3285
------------
TOTAL DUE= .00 TOTAL PAID= 60.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
- ---_----_---- ------------ ------------- /
------------- - >
MECHANICAL PRMT i60.OO
-----------
OOO6 . --------6O.OO
60.00
-----------.OO ' �|
.00
PROCE%%ED BY : JULIE %HATTO ,
PRINTED 3:.1f . JULIE ::,1A110
******************************** THANK YOU *********************************
1
11
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mu: Appr:
(in) (out)
Dept.of Bldgs.
Special nsp.Final Report
-_ -_
Hydrant( )
_-
Lock Box
- --
sngineor'x RID/CRP -- '
-_
Easements
_ --
Road Plans/Improvements
Bonds
Planning _ _ Bonds
Utilities -- Double Plumbing
--
ULID
Other _
- —
^`~~~~~`~``^~^^`^^^^`^^``THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE DFOCCUPANCY ONLY~`^^~`~~~~~^^~`~``~~^~^
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dute:
Filed insp finaled by: __ . Date: _
Ninety days afteC/O issuance
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor plans destroyed: