1991, 02-21 Permit: 91000654 AC SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 130 'WAY AVENUE
SPOKA F ':NGTON 99260
s9)456-3675
I certify that I have examined this permit/application,state that the inform, xi 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 NUMBER=
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SITE STREEi = i6225 lliH AVE 22544
ADDRIESE SPOKANE WA 99216
PERMIT USE= INSTALL. AIR CONDITIONER
AVF
Af.5.MLTE"" SOMZANE WA 9'96
CONTACT NAME=
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SETBACKS :
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CONTRACTOR= AIRE VAiAFY HEATTN M-01 PHONE= '509
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PAYMENT I: . . } r rt PAYMENT
AMOUNI
TOTAL DUE= ,00 TOTAL PA1D= .
I"'ERMITi "i E 17111117 - i-11.) N T AMOUNT PAID AMOUNT OWTN
MECHANICAL i..:r-i=} 37 ,00
SPECIAL CONDITION CHECKLIST
—_� —Project#_.____— —_.___ Use:______.___ ._—_
Date: Condition: Init: Appr:
(in) (out)
Special Insp. Final Report
Hydrant( ) -- - —
Lock Box
RID/CRP
Easements
—_ Road Plans/Improvements —__—
Bonds
Bonds — — — —
Double Plumbing
U L I D
"****THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""'"""" `."'"""""
rocessing: —_ . Plans pulled for final processing:
.Certificate of Occupancy issued:
— Date: —
--- -- . Date: — —
nuance:
called regarding the return of plans: ___--._ . Date:
— — -- . Received by: — —
owner/contractor-plans destroyed:—____ —___-._