1991, 04-02 Permit: 91001521 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 j�' APPLICATION l// 7 4j
OWNER OR AGENT DATE J
PROjECT NUMBER= 91001521 F t ' „ i PERMIT DATE= ' � �� ' ' 1
PAGE= j:
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STREET=SITE �s f
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ADDRESS= t:t::.RAl?{•3., p.. WA 99037
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PERMIT =i i:??::..... INSTALL !. ) :-r•'::"i GAL... I'`E>.,OPj.:yN3::. TANK PIPING
PLATO= 002565 PLAT NAME= SULLIVAN WAY
AREA= tx. t ?? tri:::: 85 I t` t i ._..:i:; ...'
4 OF {1.. t .__„ :i .„ DWELLINGS= 1 . WATER I)is •`"F ::
OWNER= MAY , jOANTE C PHONE= 509 92'0 7170
STREET= -15307 E 15TH AVE
ADDRESS= :,:...,...:.•r. w: r_ :•
99037
CONT , N ff:1 ,. .._ DON i_ ENEST. PHONE NUMBER== •.`-% 922 5070.
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT- NA REAR= NA
aa k k: t . . 4 1F: : RR: .7 :*.: P :.: t: Sujr,qMECHANICAL . : ` IfE jj: l nSj} t 1r jj** j] ai . :** yy
CONTRACTOR= FERRELLGAS
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•..j , 1 ?::. TRENT s::.i�� .{fit
PHONE= ,s
STREET=
ADDRESS= SPOKANE WA 99212
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ITEM DESCRIPTION ?i 1.�{"f?C ? �. ? ; TEE?::. (••yMOU?'` ?
GAS PIPING 1 , 00
t:..};. };. .i. .i-•}!-•!}..}...},..}..!. .i. ..}!. ..},. •:?. ..l., t:::ds'j' *.j(- :•jF..j{. ..?F t.iit••?i•itt';:4i::... j'..?t':.ii;.ii:•9:''?i::.a l•i`.t:''iii
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ADDRESS= SPOKANE WA
ITEM DESCRIPTION QUANTITY FEE AMOUNT
LPG TANKS 200 35, 00
::} ;..i 'ib7;-4c'"i 1`•3...11'-)'i 93..t.:l:.! .;�.::v a,.:y.
•?!:ra..;}..1},.?...1!.J;..1.;ft }i :.,I{ 33- }..?,}:?:)t 1,?i.1:r':'i�"?i::i!:'i}:�:"i!:J>•�i:�: t.:{.:{�I'r??.:.I,; i .;}i-.i i"?t"i{•�i L. i li.1..,..):"l:'}'..).
04/02/91 i727 36 ,00
TOTAL DUE- ,00 TOTAL PAID= 7,6 ,00
,.: ::;::.?•':?i.f: TYPE? ? Yt'?::. C:- ;::t?,.?i,#,.;NT AMOUNT PAID Ami 1,' OWING
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FIRE SAFETY PMT 35.00
MECHANICAL is?It..tt? PRMT 1 .00 0 00
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36,00 36,00 00
PROCEESED BY : WENDEL, GLORIA
PRINTED BY WEND....... , GLORIA
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SPECIAL CONDITION CHECKLIST
Project •
Address: ___.___,_____ — Project# —_
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—_ _ _ Bonds
Utilities__ -- Double Plumbing_ ---
ULID
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 0/0 issuance:
Owner/contractor called regarding the return of plans: _.__..__ —_ ____ ___ ._____._..._. Date:
Plans returned: ----_ -_--__-_— _-- . Received by: _ —__.__-----__ ----__-_-- ____________
No response from owner/contractor-plans destroyed:_._ _