1991, 01-18 Permit: 91000195 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE;WASH^.NGTON 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
PROJEC•. NUMBER=
91000195 DATE= •. ,91 •• tr
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ETTE STREET= 11623 E -12TH AVE PARCFLO= 70541 -1315
ADDRESS= SPOKANE WA 99206
PERMIT USE= i.N.'• # (•I1...#... HEATING EQUIPMENT
PLATO=.3,::::: ?;i0-1 l?:!:.. PLAT Nfi!"1t`.:::: MOUNTAIN VIEW 3RD ADD
BLOCK=
i1T ZONE= . .% E iT„.
AREA= �_ %�f-i::: WIDTH= DEPTH= .:
€€W ! CCITTCOTTINGHAM, ROSEUA PHONE= 509 92'' 8189
STREET= 11623 E 10TH AVE
ADDRESS= .",3-`OKANE WA 99206
CONTACT
OJ' ' :TNAME=
. . . : ,- , E , FURNACE
URd '' , & FUEL
PHONE • ifCiR- 509 }_ : 1711
BUILDING SETBACKS : FRONT= NA LEFT= NA R. _ �: NA REAR= NA
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€ : fl RBANNER FURNACE % FUEL. INCPHONE= . .9
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STREET= : [ BOX4346
ADDRESS= SPOKANE WA 99202
ITEM D€ ;c ;T :T1 _ a QUANTITY FEE AMOUNT
PROCESSING FEE 25 ,00
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PAYMENT DATE Z';`.t::.uE 1.F # :v: PAYMENT A!"j#:.#i iNT
01 /10/91 264 37.00
TOTAL 1 A#... D!.?1::..... .00 TOTAL 3 AL.. t'•A:r D= 37 .00
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AMOUNT
•.UNT y:• : . .
PERMIT # ? �'#::. !..L.. f-11#(.?1.r1� 3 :'-!1"tt.?t.)1'q 1 PAID f•i!'#..?€.?t". OWING
MECHANICAL ..{' 37.00 37.00 0
37.00 37 .00 :.00
..? E_:>EEI) BY : :.iOHtN i...AR>ON
1.NiED _ ;.
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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
Engineers_ 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:_ —_ w. 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: — — — --