1991, 12-03 Permit: 91008333 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit/application, state tKat 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 Nt.lMX:;ER= 0008333 ISSUED F'ERri:F.T DATE= i'r7/03/S% 1 F'F'1t: Oji
i
.
PE::RMI:T INFORMATION
SITE STREET= i=7 E 25TH AVE PARCEL*= 27544—Gi2i
ADDRESS= SPOKANE: WA 9906
PERMIT USE= HEATING EQUIPMENT, GAS WATER HEATER, & P:L1=:[NG (3)
PLATO= 001 705 PLAT NAME== MOUNTAIN VIEW 4TH ADI)
{DICK=- i LOT= 1 ZONE= At EUB DI:ST4=- F:'
AREA= 0(1700000 F/A= F WIDTH= 83 DEPTH= 12 R/W=:: 60
0 OF BLDGS::= 0 DWELLINGS= i WATER DIST
OWNER= SHUL_E NBARGE::R, LARRY PHONE= 509 926 8372
STREET= 13617 E 25TH AVE:.
ADDRE".SS= SPOKANE:: WA 9906
CONTACT NAME= A & M QUALITY TY H•IE::ATING INC. PHONE:: NUMBER= ails} 928 2100
BUILDING SETBACKS: FRONT= N/A LEFT= N/A Fi:Ct`HT-= N/A REAR= NIA
ME::CHANI:CAL.. PERMIT
CONTRACTOR= A & M QUALITY HTG & ELEC INC PHONE== 509 928 2100
STREET= Q00 i D E INDIANA AVE'
ADDRESS== SPOKANE WA 9906
6
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
_.._._..___._..__.._.___._._......_._.__..__ — -------- __._______-.__..._..-
PROCE:SSI NG FEE Y 25. 00
GAS WATER HEATER i i 87.00
GASGAS
lHTG EE"QUIP<i 0,t 00>BTU i Q00
PAYMENT SUMMAR`r` F' }!• }t' !t R �• }(. }! }l• }h }i' i•: /i 1l $: b: )•: }t }e tk �{' }t P: R }f p; }t }E
PAYMENT DATE REs:: E I PT »: PAYMENT AMOUNT
i './0_n19i 049 a0, 00
_..___._
TOTAL DUE•:== .00 TOTAL_ PAPAID=_50, ftp
PERMIT TYPE: F'•E::E: AMOUNT AMOUNT PAID AMOUNT OWING
MECHANI:CAL.. PRMT 54:1 s O7 50 A 00 .00
__---------- ............._..._....__._........._..____
50.00 50.00 100
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
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THANK Y O L I •�L' Il• •M: }k •1{ }�• M: •)R• }�: •R• �P: �P: 9l• N• P: }L- h:• �: •P: •14 }t }t •P: �: F: �A:• •N: P.• �A: }L •h: }': il•
Project
Address:
Dept: . Date:
Project
Init:
(in)
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
Received by:
Date:
Tl
Special Insp. Final Report—
Hydrant ( )
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THIS SPACE FOR COMMERCIAL PLANS TRACKING, CEf T _!f #CATE,,O ;QQCU� Fi. ;J a - . Ai t I
J e., i,.:. j
JIapspW4Ie,0.4o.riin .)i. v. v. �k
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:
Plans returned:
No response from owner/contractor - plans destroyed:
Received by:
Date: