1991, 12-05 Permit: 91008416 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 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
PROJECT NUMBER= 9I001416 ISSUED PERMIT DATE= 12/05/91 I''AGE:::: ,;"j
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SITE STREET= 11 .SS'.:?1 •i E 18TH n ti E: r'n Ri:`i...:„::::: 26542-3413
ADDRESS= a'E::F AI}Ai...E:: WA 99037
PERMIT USE:::: HEATING EQUIPMENT MENT & F'IE'INC;
E'i...A Tom:-: 003084 r'I...AT NAME= E::F�IE:f...`Y' t:DAWN .'ND Falai;
BLOCK= ZONE= .,
AREA= 00000000r'. F3_:: t.. l�i7:I)..I.II:::: _ > , DEPTH= i27 R:W=
4O1- BLDGS= J} :R: DWELLINGS= '1 WATER DIST '••'
OWNER= SMITH, WARREN PHONE= )?j9 924 2-i I2
STREET= 1 x f`:i 1 := E 18TH r"x ti i:-
ADDRESS= V,••• D W A 99037
4 :.ESA•._:f-'ti...i::. WA
CCINTAC::T NAME:: :: AIR DESIGN HEATING PHONE NUMBER= 509 487 4328
BUILDING SETBACKS : FRONT= N/A LEFTS:: N/A EIGHT N/A REAR:::: N/A
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CONTRACTOR= Ft { DESIGN INCPHONE= 509 : { 4328
STREET= 1807
i s FRANCIS AVE
ADDRESS= SPOKANE ANE WA 992.0
ITEM DESCRIPTION QUANTITY FEE AMOUNT.
PROCESSING E'EE:.
GA,`} tilt; E:.!a't .EF't 1 uO , ?1u:J B 1 I._i 1
GAS PIPING i I •,{,fi
9?'R'?k•M•)ti?-P'i}•9k*•H•7?-'H.'ir9Y•N.•9k'JkiF9t•,?•R•9?'9?•9tfti?'9t*!?•iaPAYMENT SUMMARY N4t 1 RiR9 . R nP9t 9 N. ) . RR9 . iR. P
PAYMENT DATE RECEIPT;: PAYMENT AMOUNT
12/05/91 ?'243 :38 .00
TOTAL. DUE:::: .00 TOTAL. PAID,::: 38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL E'E{°rtT :. l A :iC:i :38,00 >0
38,00 38. 00 0
F'Rf:ICi:::c;sE:I, BY : DOMITROVIOH , ROBIN
PRINTED BY : DfiPI t•EiCIVIC::H, ROBIN
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SPECIAL CONDITION CHECKLIST
Project
Address: Project#_ Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept. of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box — — —
Engineer's _ RID/CRP
Easements _
•
Road Plans/Improvements
Bonds ——
Planning_—_—_ • pprok.,
-
Utilities :— Double Plum4ing • .
ULID
•
Other _
•
**"******"*4*""*"*****'***"***THiS SPACEFORCOIVIMLRCtALPLANS TRACKING,CERTIFICATE OFOCCUPAf.CYONLY******4-****"***—°"""'"'
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:___