1991, 01-22 Permit: 91000208 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 131 'BROADWAY AVENUE
SPOKE E,i.Nia itIGTON 99260
,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
,.:R!-t.it...r.,_r. NUMBER= 91000208 DATt... 01 /22/91 PAGE--:: 01
ISSUED PERMIT
******** ** ******* **4F***** ^3i' . # INFORMATION *! q ***)9j *Rljj3 " ) j *aN : `7Ei ¢
SITE STREET= ? ? 6'! 0 E 11TH !"!'Ht E 'fS R'•••E`t...•r--•• 21544-1214
ADDRESS= PCH<: `N i£Ji:. 99206
PERMIT; I..?:'E INSTALL HEATING EQUIPMENT:N G:-!:; PIPING
PLATO=i A ! :k::::: i,,-!0 .j40i i PLAT NAME= i i._f A`! ' ` ,\1.1,1
AR3::.f.:i:::. 00000000 #":' F}:::: {.. • WIDTH= DEPTH= ;.,;:.:
4 OF BLDGE= DWELLINGS=
OWNER . _.!.,..;.,.. - . NICKf:HONE
STREET= 1 :; i t i::; i .I ..s.I..i {•<•r V i:,.
ADDRESS=...::.. :`•P#..li:ANW WA 99206
CONTACT at'T PlA' - u!! ! !.i I••I¢•r:••,..•,:,yi;: ACPHONE NUMBER= 509534 .:a t,..� :
BUILDING SETBACKS : FRONT= Nr"! ,< ...,.....,. NH RIGHT= < REAR= r.
....... .. ........
$!:it;t•-R:•P•3+: (•:+:'j+:�:+::+:P:•N::++:fi,.:Y: `9t•)k:�:�i..j�.y,..?+:;t-ik.},. .},..P::k MECHANICAL PERMIT •n:•Jr•n:•?+:•?+:•n:•x•k•iF;•x*•}t•.n: .1,..n..t,.**.n..1+::r:+::;p:•n:;+:
CONTRACTOR= N t ;t : HEATING ' i : ,t :D INC PHONE= 509 . . 4975
STREET= t9 1 TRENTAVE
ADDRESS= SPOKANE ILI( 99212
ITEM 11#: f..:::F IP .?.i!N QUANTITY FEE AMOUNT
t
PROCESSING FEE 25 .00
GAS HTG EQUIP< 100, 000>BTU 12„00
GAS F'a.PINC ? .:011
J7jj *; yj * ;18) j{.:);•it R `atr fiE) iii tiPAYMENT ir ' <: ;
***************K***********
:5+:
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
01 /22/91 .';::i 3 t.. 00
TOTAL DUE.... :.00 IO ! A1i... t•'r..tID:::: 38:.00
PERMIT.RM.l.1 T t.1:i`L:. FEE AMOUNT? AM(:iUN i PAID AMOUNT 4.iici_I.Ni_,
MECHANICAL +;:M ; 30 ,00 00
-------------
30.00 38.00 ,00
PROCESSED BY : jOHN LARSON
PRINTED BY : jOHN ! !••F:i' ,O N
J Pk 1 FAPC NP * : : { (:.+(..qt t:} (* :yr ¢u ;jTHANK Y CP* iPPj » 'i�:•it'Ai*1Pji Petjt ,jNiAPljj:* ?**j
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept.of Bldgs.
__ _ __ _ Special Insp.Final Repor
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 OFOCCUPAwCYDNLv```^`^```~``^`^`~~'~~`~~~'
oate received for C/O procesing: Plans pulled for final vmoes ing•
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: _- _______