1991, 12-10 Permit: 91008526 Water Heater 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
PROJECT NUMBER= 91008526 ISSUED PERMIT DATE= 12/10/91 PAGE= 01
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ADDRESS=
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,
PERMIT UEE= GAE WATER HEATER
P t r-t t ;:::.:. ':1 L•J't :::...} PLAT NAME= �..(.i.!. _ t...:. ACRES
ND ADD
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AREA= F/A= WIDTH=
OWNER=•,,.:... ,.!RR?::.::; } I::.I'i f'iE,..Ix;';`N PHONE=
ETREET= 12920 E 25TH AVE
ADDRESE= SPOKANE WA 99216
CONTACT
O: ; T rw _ i cc ? • , i 1I • - PHONE ) " i : 509 409 1170
BUILDING SETBACKS : FRONT= N/A LEi- r= A z NSA REAR=
?: UP3J t ? Pt U 9C Lq1 ? ? : :::: : ?H ;: j: ;:1.. MECHANICAL :F " i17 . . .. .. ] .JJ13 . ! 1 ? . 1 , . . ! . ...}.
CONTRACi0R=
SEARS PH 0 i 5 0 9 -4 i. .
STREET= P 0 BOX 3707
ADDRESS= .1i i.II'•.ANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 2c:; . 06
GAS WATER HEATER 1 10,00
. . . x .. :19t k cPF : i : : PPA A ; ; ; 4 s ;* ; PAYMENT `U N M A R ( . ?Nt* l1 . p :* r*t F:A ***'. k ; .K ! *
....
- ::Y: "t '•:i -t. I ,.:.:. :: "It ' _
xPAYMENT tM ; .
12/10/91 9353 35 , 00
TOTAL
DUE= ,00 TOTAL . .{.;.D= .. .. .. ..
.tt:t
PERMIT TYPE F:F: AMOUNT
AMOUNT AMOUNT I„iui.,i`-l -,
MECHANICAL PFM-( ..
35 ,00 35 ,00 ,00
i`I ,i`;;` : Buml ; kOVICH, ROBIN
PRINTED BY : )#.lM..._`. °.i3 .!.OI••i ROBIN
h*;g:'),:ii; N : H ? A 1;.*! ;7j ; :P*Pt 3A ; i* THANK V J ii (&1.. .r*P7j.µ U k: ** F*K: *Pk j. **u ?p ; Uh ;
SPECIAL CONDITION CHECKLIST
Project
Address: . Pro #_—
1 Use:_—__
Dept: Date: Condition:
!nit: 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: — --� _.`w_ — , Plans pulled for final processing:— —Temporary C/O issued: .-- .Certificate of Occupancy issued:
—Office file review by: ___ —. Date:F ._
-------------
iled insp finaled by: .. Date:.—_--__-
-._ ------------
N
-----------------------
inety days after C/O issuance: ---�--
Owner/contractor called regarding the return of plans: .—.___..------------ _ Date:
Plans returned: _. Received b
No response from owner/contractor-plans destroyed: