1991, 07-09 Permit: 91004082 AC SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOrrANE,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= ii :"4 tr ISSUED rlF ` tT T "" G :: 07/09/91 ' a ,r : 01
it 3!*,r**r fr)h Yh*it P *at)r h* i>,r it*it 1e x PERMIT INFORMATION *u**it if*it it**)E}i,?it** ar)(*a k i,>>: r
SITE
STREET= • 2n 27TH a V. FfRC .I4 _ 27543-2207SPOKANEWA 99206
F:ERM I T USE= 7:NS TALL AIR CONDT I ONE
PLATO= 001226 PLAT NAME=II::::::: Fi:!:I...I...s.:::I�:F'=ST ACRES 4TH ADDIrI...CiC::I��: .?
LOT= ZONE= !.1!`. .:'_"; 1 1j:t:i i•:;:= F'
AREA= F-/A= WIDTH= DEPTH= R;'W::::
'k' OF BF..:OGS== 0 DWF::l...LIiNj';,+'=: 10 WATER
DIET =
OWNER= BENSON, TONY PHONE= 509 ,}:;j.'"r 8211
-1
STREET= 12904 E:: 27TH AVE
ADDRESS= SPOKANE:: WA 99206
CONTACT SEARS
BARTON PHONE NUMBER.. 509 489 i i 70
BUILDING SETBACKS : FRONT:::. NA LEFT= NA RIGHT:::: NA REAR= NA
M k 4 f {p3N 1*AC t* E L 9 t**9 $ i h9C 9 *NAlMECHANICAL `lF " I **A* P*R***$ A*P **** ** lP. 4
CONTRACTOR= SEARS PHONE= 509 489 1170
STREET= P 0 BOX 3707
ADDRESS== SP'OKANE. WA 99220
ITEM DESCRIPTION QUANTITY FE E AMOUNT
PROCESSING FEE Y :00
AIR CONDITIONER 0-3 TONS 1 .12 .00
!k P:94.7k'R••i!h'?tP:9l'P:'A:•**'}L'R:}t•*'PP:P:'Jk•N:•J4•)4 b:}!'9{•*** PAYMENT SUMMARY *p:.n**.K..H..P:*P:9k*-1k*N:•**-P:H-•ri•9R ik*9k•P::ry:*it•
PAYMENT itTw R"CE I =T„ PAYMENT AMOUNT
07:%09;`91 4542 37,00
TOTAL... DUE=== .00 TOTAL. PAID== 37.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANIC::AI_. F'RMT 37.00 37.00 .:00
37.00 37.00 .00
PROCESSED B r : JOHN LARSON
PRINTED BY : ..1OHN (...ARSON
.. ... . . . .. ...... . .. . .
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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
•
tftilitles —._ �_. Double PlumbingOther
ULID
.
,._.... .p .>,<.,,. t,.. __.. .THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY""'",".•_**********----""
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-. --
N.ne:v days after C/O issuance:
Owner/contractor called regarding the return of plans Date.___-_--
Plans returned. _._- --.___-_ . __._--- .__-- Received by:No response from owner/contractor-pians destroyed — --- -__-_-- --.--_-- —_