1991, 07-03 Permit: 91003962 Gas PipingSPOKANE COUNTY'DEPARYMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
1(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. l 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 donstrubtion, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.•
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT_NUMBER= 91 00396 ; ISSUED 7
4 FL r'ERitIT DATE= 07/03/91 PAGE=: 01
i{*****ie:i iei6*********i ****ra3e** PERMIT INFORMATION *****3f if3e###***** **3i*****K**
SITE STREET= 13623 E. 5TH CT RARCEL== 22541-1801
ADDRESS= SPOKANE WA 99216
PERMIT USE= GAS PIPING
PLATO=
BLOCK=
AREA=
OF BLDGS.7,
OWNER=
STREET==
ADDRESS=
000163 PLAT NAME=
1 LOT=
1' / A °:_
DWELLINGS=
HOOVER, ROBERT
13823,E STH CT
SPOKANE WA 99216
BERGMAN'S S ADD
4..::ONE=:: UR --3.5 DISTF:
F WIDTH= 440 DEPTH=
4 WATER DIST
CONTACT NAME== STURM HEATING
BUILDING SETBACKS: FRONT= NA LEFT== -NA
#*3&************3*3***#..h.#*#*`#3'*36#*#* MECHANICAL..
CONTRACTOR== STURM HEATING
STREET= 204 E INDIANA AVE
ADDRESS= SPOKANE -WA 99207
#***#***
ITEM DESC::RIFJION
PROCESSING FEE
GAS PIPING
MINIMUM FEE ADJUSTMENT
104 R/W=
PHONE= 509 922 '0951
PHONE NUMBER= 509 325 4505
RIGHT= NA REAR== NA
PERMIT
QUANTITY
Y
1
##3e*3E34 •**#..* 3F*3e#*3**J 3e**#***
PHONE= 509 325 4505
FEE AMOUNT
25.00
4.00
9.00
* tr/** * * * 3r ie# #3E 3e **3E*3E## Pr1'r'M L -.NT SUMMARY ************W***************
PAYMENT DATE
07/03/91
TOTAL DOE=
PERMIT; TYPE
IE:CHANICAL. PRMT
P[OCE:.SS
PI ]:NI
RECEIPT;
4372
.00 TOTAL
FEE AMOUNT
35.00
35.00
BY.: WENDEL_, GLORIA
BY WENDEL, GLORI=A
PAID=
AMOUNT PAID
35.00
35.00
PAYMENT AMOUNT
:5.010
35.00
AMOUNT OWING
.00
.00
*3*3***dA..*****#.3E###.#..k..h.#.h..tt#%*3*i*.u.#.#.##.h. THANK Y,Q IJ 3(.3r.1(.3F.h..ie.1r 3i..A#*##a3irt####3i#######if####
r'
3 �
SPECIAL' CONDITION CHECKLIST
Project
Address: Project # • Use.
•
•
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road PIBns/ImproveMehts
Bonds
Init:
(in)
Bonds -
•
%. 1
Appr:
(out)
Double Plumbing
ULID
•
THISSPACE FOR COMMERCIAL PLANSTRACKING, CERTIFICATEOROCCUPANCY 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:
r
Ninety`days after C/O issuance: .
Owner/contractor called regarding the return of plans: Date-
r Plans returned Received 6y. -
No response from owner/contractor --plans destroyed.
Sept. of Bldgs.
,.
..
a ..
..,
Engineer's
'fanning
, . , i'1
1
q•
y'
4
Jtilities
.
P
Other
.
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road PIBns/ImproveMehts
Bonds
Init:
(in)
Bonds -
•
%. 1
Appr:
(out)
Double Plumbing
ULID
•
THISSPACE FOR COMMERCIAL PLANSTRACKING, CERTIFICATEOROCCUPANCY 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:
r
Ninety`days after C/O issuance: .
Owner/contractor called regarding the return of plans: Date-
r Plans returned Received 6y. -
No response from owner/contractor --plans destroyed.