1991, 05-21 Permit: 91002767 Heat Pump SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 SkOADWAY 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 ti,•rovisionsofanystateorlocal law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF r APPLICATION
OWNER OR AGEN BATE 91/
•
PROJECT N .B «. 91002767 I \• l . % PERMIT i ;: _E : 0!'.5/21
`91 ` iE:=
01
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SITE ,:o- 1 t':EE t = 15718 1::. 23RD A 1:.. p.i_!R?.:!::.i...•„••_: 25545-9048
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ADDRESS= SPOKANE WA -Y.:.:i 6
PERMIT USE:::: HEAT PUMP
1t
PLATO= 00%716 PLAT N(•4i'i1::.:... I"-: t.D t..r t::.t'1}.)�`? 1 ESTATES f@..1: •1 E T
BLOCK= LOT= .. ZONE= UR-3,5 J.1., -t :N::::: 7.
,
•±,• 104 DEPTH= 100 R/W= 50
u1.• �,1. ':=.a.A:.... 4DWELLINGS= 't WATER - _. .,.E ! = VERA
OWNER=,NER M A D•DE N KEVIN PHONE=:'l. ONE::: ' 09 '26 ,"}...
STREET= l '1 i` r PROGRESS R;•;
ADDRESS= VERADALE WA 99037
7
ir31fCT NAME=
. ~ -. t ,AN ` MADDEN PHONE ` ?
iFE - 509 924 6497
r
BUILDING SETBACKS :t FRONT= NA , , NA RIGHT= NA REAR=
NA
.?!..1!:fy..1!:•?!:.1,i.1±:.J,..,,:3k.n..J±..l1..J,..t..?i•?i'!k'J=:•J±:•r:'lA•*'ii'ik'?k•li••ii'ir'il•ik MECHANICAL PERMIT •A;.:,±:.;i..i,..ii.*.th'..R..!i.:P:•:i i ±:'h::k:±:•i;':i•ii•'ii**'Ji::•;t.*
CONTRACTOR=
O : : R ,C ( 1x .,:{•:€R i :,1: ;1::.A T ri'.li, 6 {.:!.'is .t.N!-: -�!•'1'..?±'i1-.'•' !:?!..`'s' 2 .. .. .. ..
STREET= 11816 t::. MANSFIELD AVE n.,:i:,._
ADDRESS= SPOKANE WA 92
P
06
ITEM D[ : ;R; ' _ iOv QUANTITY FttAMOUNT t : iiPROCESSING FEE 25.00
HEAT PUMP 0-3 TONS 12.00
:e•:a:3i':!!:'i*•ii•*;i'i!:i!::!i'7i'3i•i'!:•ii'K:k'ii•i+:•hi'i!:*ii*W'ii ii•h:;i': E-'A Y `i 1:::'i",1. i• ,;;.a m m A,±.;: r •.............t'*•J±:•n:'Jr•*•n::±±:*:k''r{**is'1!:'J±:'n:*s±:'J±:,r
PAYMENT }_?A , ' t t::.i.:E':.I Pt ',r PAYMENT AMOUNT
05/21 /91 3095 37, 00
TOTAL 1 A1._ t..'Ut::.:::: .00 0 1 f.? t AL PAID= 37.00
PERMIT TYPE l::'':::... AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT .00
..00 37.00 „00
PROCESSED>,''E?: Y.1 BY :e� L.. WENDEr GLORIA
PRINTED Er_i "{ : WE::.NDEL r GLORIA
...,...i!i; 4i :Pi. 1.fj (. i ( SJ * fififit P3t: * THANK
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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 — —
•
Engineer's_________ ____ ___ .— —
_____ __ 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:_____ ---- — -------_—__—____.—___._____._ _._—_.--