1991, 12-02 Permit: 91008278 Gas Log, Piping iimorooNvSPOKANE 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 roceed with processingIn additionI have reaand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All prof laws and esordinanc
of work will be complied with whether specified
herein or not.I understandmu themmpermit/applicationand any subsequent inspection~pp~ ��' �m«omnoo/nvvvnu�v000nnmv000nmmoum
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APPLICATION
OWNER
0wmsnOnAGswT DATE
PROJECT NUMBER= 91008278 ISSUED PERMIT DATE= 12/02/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
�ITE %TREET= i28O2 E 27TH AVE PARCEL4= 27543-2203
ADDRESS= %POKANE WA 99216
PERMIT USE= GAS LOG & PIPING
PLATO= 001229 PLAT NAME— HILLCREST ACRES 4TH ADD AMENDE
BLOCK== 2 LOT= 3 70N %FR DI%TO=
AREA=
OOOOOOOO F�A= F WIDTH= DEPTH= R/W= 50
0 OF BE= i 4 DWELLINGS= i WATER DIET =
OWNER= PICKETT, RANDY PHONE= 509 922 6621
STREET= 12802 E 27TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= FALGO GARDEN CENTER PHONE NUMBER= 509 926 891i
BUILDING %ETBACK% : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= FALCO GARDEN E TER INC PHONE= 509 926 S9i
STREET= 9310 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
FEE AMOUNT
-----------------~------- -------- ----------
R CE%%ING FEE Y 25 .00
GAS PIPING i i . 00
GAS LOG i 10.00
******************************* PAYMENT JUMHARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
� 12/02/91 9103 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 36.00 .00
PROCESSED BY : DOMITROVICH' ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************
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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____ —. RID/CRP
Easements
—__— --__— — Road Plans/Improvements _ _ —
Bonds
Planning_— — Bonds
Utilities.__ — Double Plumbing
U L I D
Other _
"' ^"'"'"""""""""`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY 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:__ —_ _ — ------ --- ---- -- --- --