1991, 05-17 Permit: 91002664 Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
tPOKANE,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 provision ny state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. �r
SIGNATURE OF (�1% APPLICATION 5-- /7 .. ?(
OWNER OR AGENT DATE
PROJECT P't1!E'!k3E::.E. tt:dt:ra........ 'ISSUED PERMITDATE-
1
PAGE= 01
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SITE STREET= 13403 E 15TH .. PARCEL4= 22544-2456
ADDRESE= SPOKANE WA 99216
PERMIT USE= GAE PIPING
PLAT4= 002 (56 PLAT NAME= VERA
BLOCK= ii .... ZONE= {.:yl..eRI •.-, L.
AREA= t'It;rt;r!.;;t.;,..},.y,.l 1-/A= F WIDTH= DEPTH= R/W=
4 OF BLDG.,:" 4 DWELLINGS=i'•11_-,::,= 1;i1ATI.:R DIET
OWNER= PEACOCK , .iOI'•t`i'•1 PHONE=
..
STREET- 13403 E 15TH AVE
CONTACT NAME= : ! PHONE `l1B . :
. 4000
BUILDING
SE::. I :if?t..:K : FRONT- NA LEFT- NA RIGHT= §A REAR= NA
:i.* ,::;.::: :,i K:p..i.:;.*•;.:j.:j.;:.:{.:!* •.:;* t:;.:t:j.:,::(.:(.:i.:,{. m I::': t..`t:i N: I:A l P: .R t'`! t t :+r +i U.1;.:},,:It**•Pi F>*:f+i*:*•i=i:Ij..nj y,,:,,,:}(..f+i'.'7 4
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t..:I..)E'''? I ``-.At.: E Ol/. :: K I U Or ,POM•.ANE::. PHONE= 509 467 4000
EiREEf= w E::.:.:- E 5j.E.I::.W A 11 E::.
ADDREES= SPOKANE WA 99218
ITEM! A:!...,::CR.E.t•: ttt,tV QUANTITY ;..t...E::. AMOUNT
E':ROCE::;::)I E''?t•r I"E'.E::. ? 25 ,00
GAE PIPING 4 , 00
MINIMUM FEE ADjUSTMENT 6 ,00
-t!:Jr it.*F`• :R•S'•;t R}: ,. r-.i.,!t. r..1+.!+..t).,r•.1.,R'-}i;K.1,..!..}., pAymENT ,. t t m{"E A h::'' •Pr 1.}•......... .:..Jh•?i..J'r 1.........1.....rt.....:.:1........
PAYMENT .,lAi !" RECEIPT4 PAYMENT AMOUNT
05/17/91 5'83
................................................
TOTAL DUE- ,00 TOTAL PAID= 35 ,00
PERMIT TYPE E"E E AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 35,00 35 ,00
35 ,00 35 ,00 „00
E"E''•.O!•..:'t::.,::,:t!::.l.1 )_:Y : ..r t.!!....E.':::. :::•E'•E 4 1 t t,1
PRINTED BY : JULIE EHATTO
.1.:'RPtPt APP . t: : s : a 41 RN! Pk THANK y I _ : : : { ;sa : at ; t : il ; ; : ;*: „ yr {j {
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P--
SPECIAL
_SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.oxBldga
—
Gpooia| |nop Final Report
\ |
Hydrant( )
Lock Box
'
• '
| ' -
Engineer's | _- RID/CRP '
Easements '
Road
. ,
— ' `) __ Bonds
' --
| `
. `
| -- / -- --
Planning ` � ' ��Bongm
__
' ' ' � ' ^ ^ ` ''^ � ` '� , '` ` ` �. ,' ' ^ ' ` ••`
' ' ' `
-- � ( --
Utilities ' Double Plumbing
ULID - ~
Other.
.
' --
~~~^^~`~'`^~``~~^~^``~~~~`~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY 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 planDate.
Plans returned: Received by: —_ ___ - --
No response from owner/contractor
__'mmvaaponanfmmnwnnotuntmcto, plans destroyed: __-