1991, 07-25 Permit: 91004482 Mechanical Fixtures SPOKANE COU TY DEPARTMENT OF BUILDINGS
V 303 BROADWAY AVENUE
$Rt ;ANE,WASHINGTON 9 260
(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 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 : .. } : , y ) : } } ic) } . ; p9 } PERMIT tJ ? "A . J ) ) } X} 1 . } } } Fujr} } } ! i : iq9 } }
,
SITE STREET= 6911 E .i +:}.i •1 Fa•5j:•• ::fti i•t.?.:?::.?.:...- 24534-0623
ADDRESS= SPOKANE S!,i f••'t 99212
PERMIT USE= ,
PLATO= FURNACE, WATER HEATER, PIPING
002955 PLAT NAME- IF i t fatx?"t.,'}. PARK
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OWNER- jH:c}t::.F GAIL PHONE= 09 ..... 6923
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STREET= 69ii E 10TH AVE
ADDRESS- SPOKANE WA 992i2
CONTACT NAME= GAIL ?_IH',iE - ?'' .t?-', .. 509 . .. ...... '..
BUILDING SETBACKS :1':iA:..,,.,` ' !' Rt,itn . NA ...'._ ... '( .. N;::•;
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SPOKANE WA 992c .`
,...,. DESCRIPTION
„ QUANTITY i.-LE AMOUNTPROCESSING FEEGAS
WATER -HEATER •
• - 10 ,00
GAS PIPING 2 2,00
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PAYMENT DATE Ez E: P T41, PAYmENT AMOUNT
TOTAL i,Ji:t-::: ,00}i•. :•i t ixi.... PAID= ..
00
PERMIT TYPE ;. ' > AMOUNT - OWING
.. AMOUNT •'.t_i 1'•:
..
MECHANICAL PRMT 49,00 49.00
49,00 49 ,00 ,00
PRINTED BY : JULIE'_1t....#.S:. :fir '?,A ? ' i„I
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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 OF OCCUPANCY 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: —