1991, 07-18 Permit: 91004322 Gas Log, Piping 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 prmit/application is true
and correct, and authorize Spokane County to mvoou withom0000mo In additionI 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/appiication 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 constructi
SIGNATURE OF APPLICATION 7 /
'
PROJECT NUMBER= 9i004322 ISSUED PERMIT DATE= 07/18/9' PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11718 E 25TH AVE PARC28544-0808
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL GAS PIPING & GAS LOG
PLATO= 002392 PLAT NAME= %KYVIE ACRES ADD
��
BLOCK= 8 LOT= 8 ZONE= AG%UB DI T =
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
4 OF B; %= i 4 DWELLINGS= i WATER DIST = SPOKANE SUBURBAN
OWNER= ANDERSON, DAVE PHONE= 509 924 8340
� .
STREET= 11718 E 25TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= GARY BARTON PHONE NUMBER= 509 922 5080
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= BARTON HEATING & A/C INC PHONE= 509 922 5000
STREET= 11816 E MANSFIELD AVE 4003
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------PROCESSING FEE Y 25.00
A% PIPING j i .00
GAS LG OO
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/18/91 4834 36.00
------------
TOTAL DUE= .00 TOTAL PAID= 36.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
MECHANICAL PRMT 36.00 36.00 .00
------------- ------------ -------------
36.00 36.00 .00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
******************************** THANK yOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: _____________. — Project#
Dept: Date: Condition: !nit: 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__.__._
- — U L I D
Other__.____---_------- -- __---
"""""""'""""'THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: _ _.______ __._._____ . Plans pulled for final processing __
Temporary 0/0 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: _._____.__ .______- _ ___-- ___