1991, 12-05 Permit: 91008411 Water Heater 1
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
f (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
PROJECT NUMBER= 91008411 ISSUED PERMIT DATE= 1 2/05/91 PACE= 01
•*•****************•*********** PERMIT INFORMATION ***••*********'********r•*•*•*****
SITE STREET== r124 E I i TH AVE PARCEL0= 24534-1309
ADDRESS=:: SPOKANE WA 99212
PERMIT USE= GAS WATER HEATER
PLAT0= 002955 PLAT NAME== WOODLAWN PARK.
BLOCK=+�. y y LOT= ZONE= r G S I.I D Dl:S T m:_= F
AREA-V 00000000 r'/A= F WIDTH== DEPTH= R r'i ::::
:N: OF Bi..GC;S- i 0 DWELLINGS= i WATER DIST =
OWNER= MILLER, DON D. PHONE-: 509 924 9367
STREET= 7124 E 11 TF1 AVE
ADDRESS=:: SPOKANE WA 99212
CONTACT NAME=:: SEARS PHONE NUMBER== 509 489 1170
BUILDING SETBACKS : FRONT N/A LEFT N/A R.I.GHT::: N/A REAR= N/A
k'•x :•;1af*ri•*** : :' '********* :af* • :'•r:•** MECHANICAL.. PERMIT a* ••r: '* * '•r:•** '* ** ' •R*•;': ;**
CONTRACTOR=: SEARS PHONE= 509 489 1170
STREET= P�^0 BOX :3707
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPT•]:ON QUANTITY FEE AMOUNT
_
PROCESSING FEE E: 25A00
GAS WATER HEATER :! .10:.00
*3t•**•*h• x**•***•;f*•;fx'***** x•****•** • PAYMENT SUMMARY *iix#* ik* •*•K•a*3ka•&•*iibit*..:a:h:b• '•a:••ii
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
12/05/91 92_10 35.00
TOTAL... DUE= .00 TOTAL... PA T.D:=: ;h,):
00
PERMIT TYPE: F E E AMOUNT AMC:IUNT PAID AMOUNT OWING
MECCHANICAL. PRMT 35.00 35. 00 .:00
35.00 35.00 ..0,1
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : i OMI_I.Fes'OVIC;F'i, ROBIN
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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
• •• 's- . • • •
Engineer's RID/CRP
Easements
Road Plans/Improvements
Bonds, • ••• • -
-• "
" •
. .
. •
•
. • ,
Planning Bonds
. .
. . .
• • ••• • . .
Utilities _ Double Plumbing
•• ULID
4 . • ' " •
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: