1991, 01-30 Permit: 91000307 Gas FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 ofthis permit/application and anysubsequent inspection approvals or Certificates of Occupancyshall not be construed to
give authority to violate orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
,!•J!•?.:;?
PROJECT NUMBER=11166307-
DATE" r... I%,.. .. ± PAGE& bi
ISSUED (j t . .
:1?•.:;'•:;h 1S•. }t• $L• J� :II•.)?• )t iG J4. 41i:J1i.J,; :,• ji_ •ii: j¢:J!• 4!•.1!• •;t ft• 7tr Jt 4!: 1.. PERMIT
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SITE STREET0 1392f -E 4TH AVE
PAVELO, 23.542-021
lD R t , : SPOKANE -WA t:206
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AREA= 00000000 i, .%j:':
±•• WIDTH, DEPTH= R/i+1::::
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STREET= 1392i E AVE
ADDRESS5 SPOKANE W4 99216
CONTACT —±'•)r{Mt::._.. .i+` :::-Wl.}i`'ita: iy•.,.
".j.'�'`�E NUMBER -509 ._.'•r 275T"
BUILDING SETBACKS: i�"t't.irw i _. NA. i...i:::i::.�.::::.Nr'.?!
RIGHTs i••iA i{°��:Ai�{= Nra _ _
....
; ': i... PERMIT
CONTRACTOR= NORCO HEATING c?t AIR
i';i..t±'wD INC I_•L.tOr'?f::.:::: 509-534 40 75
STREET= I:.,,.,...yE TRENT
ADDRESS= _SPOKANE WA 99212
-1:T1::M (?i..:Llf:/i':a:iul•(,a:CiN
QUANTITY ►:I:::1E AMl::itii'tT
......._........—
MESSING F
.._............................
:.:25.00
�I
GAS PIPING
. i ... .. .. . ... .....: i..: SI.: 1:::: j. :.j.:i)• �F il.. j:: (.. j.. j:: j.: j.: j:: (.: j.::: 1.
PAYMENT....;..., , J,.;!..,.,!,.:...,>•....i.,.;.;.,.J.,.,.,.,!,.
SUMMARY :.r :}j..;N: .i ;.. -:n '.:1j...i,'..;,'. �1.:1!:.}t...i! �E i,'..i j: � i: .; ,.' :J !: � I. .; j..�y. .i�� ..,,.. .:11:. .; 1..,f..1:.:},; •; j.•
PAYMENT.DATE ; t :... t. E
± r I O F, (1.1 _Y M ±:.. ± , t r'. ± I _ I t..I N T
.................... .
TOTAL—DUE= , :.,:t'?
i t..! 1 t=i 1.:. PAID=
i:.i::..{.4d"1.1. I {. ia'"E FEE AMOUNT t. ..
AMOUNT � _''��€ I D AMOUNT OWING
:.,
± �±i::.±..:t•.±t•:±±'•,•t-t,.A ±..R i± 38.1: O
38.110
38.00
3R.00
:
PROCESSED.
PRINTED ; `? : .., a t_; t I F ,?, i'•i F•; "I (l.?
_
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.,•. ". .,�..� ..� . � ..•,. J. i. 1.:! ;+. !. !. d. i. 1. J: ;: F: Y: ;t ;la is 1: 1! : , THANK
,r, O I l 3j: I;1: ]}: 31i k";1: )i ;i' �i )i• y?• is •},i i{ )� it• i{• i,; j,} :,,_ ;,; 3,; •i, rt{• •;1'r ;i i11; ik ii i{ ;!: u::11:
Project
Address:
Dept:
SPECIAL CONDITION CHECKLIST
Project # Use:
'ondition: Init: Appr:
(in) (out)
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
DR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONL
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:
Plans returned:
No response from owner/contractor - plans destroyed:
Received by:
nate.