1991, 07-05 Permit: 91003998 ACSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
' SPOKAWE, WASHINGTON 99260
(509)456-3675
1 certify that Nave 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= 0003998 ISSUED PERMIT DATE= 07,i05/91 F,AGE=:: Oi
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PERMIT iX=CR~"N
SITE STREET= i 482i E 21ST CT F' ARC;E::L O= 26541-2909
ADDRESS= VE"F.A%)ALE:: Witt t;:<, 03
PERMIT USE= INSTALL AIR CONDITIONER
PLATO= 00:3933 PLAT NAIiii:'::r KARMA ADDITION
BLOCK= i LOT= 9 ZONE= UR 3.5 DISTOLIN
AREA= 00000000 F f:a= F WIDTH= i00 DEPTH= 140 E•iftf:i:: 50
OF Iti..DGS=:: i 0 DWE::L_I....I:N!;S= i WATER DIST = VERA
f„11,1NI:::it= MILLER, St.il::: i"'Eii:ii-1E::_:: 509 927 3044
STREET= i 482i r.":: 21ST C' --I
Arjl?RE::S,S`'= VES Rt• DAL..E WA 99307
CONTACT NAME= STRUM HEATING INC. PHOintE.:: NUMBER= 509 325 4505
BUILDING SETBACKS: FRONT':::: NA LEFT= iiiA RIGHT= NA REAR= NA
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MECHANICAL PE:.RM:I:E• •j4 3{ K• �:• �t• � �: •n:• �: # 'hi ie �{ i{ iii � �?• �i # •li• •h:• 'Ar •n: •k• )+:..ji.
CONTRACTOR= STURM HEATING PHONE= 509 325 450-5'
STREET= 204 E INDIANA AVE::
ADDRESS= SPOKANE WA 9920''?
ITEM DE::::'CRIPT:I.CIN QUANTITY FEE FiM(:iUNT.
PROCESSING FEE Y 25.00
AIR CONDITIONER 0-3 TONS 12.0.,
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T SUMMARY
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PAYMENT DATE:: E EE:ICP•i•:n. PAYMENT AMOUNT
qq"
07/05/91
28 37,00
TOTAL DUEr--- „!:,!fir TOTAL PAID= 37.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 3700 370,,:Y .00
------------- ------------ ....._.._.........._.._--37.00 37,00 .00
—
PROCESSED BY: ...I(:ti'dN I._ARSON
PRINTED BY: JOHN LARSON
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SPECIAL CONDITION CHECKLIST
Project
Address: _.__--- —__--- Project#_ _---- Use:
____
Dept Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs. ---____-
-_ _— Special Insp.Final Report
Hydrant
Lock Box
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"'`********'"***"***"`*******THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY**"`****"*******************
Date received for ClO 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: _____.__.-_._—__ _.___,..__------.___.-_---_--------.____._.______-_---------------___---