1991, 06-19 Permit: 91003436 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
VII. 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 n DATE APPLICATION r /q_
OWNER OR AGENT ,
PROJECT NUMBER= 91003436 ISSUED PERMIT DATE= 06/19/91 PAGE=:: "ii
*3*****3******************* PERMIT INFORMATION **ai•*******•ir************ •***A
SITE:: STREET= 10924 E 27TH AVE PARC'E L4=:: 285.43__3823
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS WATER HEATER, FURNACE, & PIPING
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 38 LOT= ZONE= AGJU8 I?I.ST•Bx:•= F•
AREA= 00000000 F"/A= E= WIDTH= 80 DEPTH= 130 R/l,l=:
: OF BL_DGS= i 4 DWELLINGS= i WATER DIST =-
OWNER== PROUTY HENRY C & ELEANOR PHONE= 509 924 5393
STREET= 10924 EL 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= HENRY PROUTY PHONE NUMBER== 509 924 5393
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT== NA REAR= NA
•a x**#•tt****ai***ai*** :a ***h •br:x** ME::CHANICAE... PERMIT •xx •ai•xk*•x***xh*•x••it•i>:••ii •*• * *
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE i` 25. 00
GAS WATER HEATER i 10.00
GAS HTG FQE.}IP( 1 O0, OOH;,:Fl1 I.i i 12.00
GAS PIPING 2 2.00
*******A•** xa**xx x••;{uxx a;ts:** PAYMENT SUMMARY *•**it1ra3k ha•Ah•k•hof*•P:•h:R •b.•it••R**•!1
PAYMENT DATE RECEIPT:„ PAYMENT AMOUNT
06/19/91 3917 49,00
______
TOTAL .DUE= ..00 TOTAL.. PAID= _..`,: :.,:0
PERMIT TYPE FEE AMOUNT AMOUNT PAII) AMOUNT OWING
MECHANICAL.. PRMT 49,00 49,00 „00
49.00 49,00 „00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
*. * :******•*•m•***•x•*******x•X*** THANK YOU :*•x* :•; **** [••****** :•r:•tt••x••;1•***a xai •*•ii*
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_.____--
-- -- Easement's
-- —
Road Ptans/lmproverraents: .;
Bonds .f: . ,
1.
Planning- , Bon.ds
Utilities _ — Double Plumbing
Other_
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY*"********************'°*****
Date received for CIO 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: