1991, 05-01 Permit: 91002238 AC 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
PRO,iECT NUMBER= 91002238 ISSUED PERMIT DATE= 05/01 /91 PAGE= 01
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EITE STREET= 14910 E 20TH AVE PARCFLO= 26541 -2012
ADDRESS= VERADALE AA 99037
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PLATO= 003136 PLAT f?iF:!"±i"= VERA CREST
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BLOCK= 2 LOT= 12 ZONE=
,is .. WIDTH=
DWELLINGS=OF 'SEDGE= 0
OWNER= ...•,...y. :... DAVID
STREET=:... •t i7f' -t:. ' 20TH AVE
ADDRESS= xd»-......r'An._i:.• WA 99037
CONTACT
; N 2? c : _ BARBARA F'a . . a PHONE NUMBER=
509 4G9 1170
BUILDING ` ! jAL , S : ERONT=
NA LEFT= NA RIGHT= NA REAR= NA.
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STREET= P 0—BOX CONTRACTOR- SEARS PHONE-
3707
ADDRESS= .':Pt.;KE•'tNL:. WA 99220
ITEM DESCRIPTION QUANTITY
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25 ,00
e •r r•. :•::•:•.x.•:•. 12 , 00
h :1 ;1 1 1 : : 1 111 * :: : . 1a (* ;: ; ¢ = 1: PAYMENT
:. + " gummAky : 3 . *ai* E a. . { iP* l1 : $i ; ; .
PAYMENT D'-TE a xi PAYMFNT AmmwT
!..j5/01 r9' 2487 37 , 00
PERMIT .r- FEE
AMOUNT i'x..;. :--i l'r ix) PATD i`
' �' is
MECHANICAL PRMT 37,00 37,00 - „00
37 ,00 37 , 00 ,00
y:i
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL-,- GLORIA-
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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( ) w -- _
Lock Box
•
Engineer's______ _ _ RID/CRP —__--
_—_- ___________—__-- Easements —�- -_-_-- __________
-------- —__ Road Plans/Improvements_�— ___ —_. . ______—__ ____.____.___.__
—__-- _ — Bonds �_ —__-- — __.____..._.-._
Planning _ —_. Bonds_ -- — __-_--
Utilities_____ _ Double Plumbing
_ U L I D_ _ —_-- ---
Other—_--._T
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:___—_ — __s__—__—_._.— —. 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 ____