1991, 04-15 Permit: 91001824 Gas Water HeaterSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. i393 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 4560675
1 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
P R [i . I t::. t.: T NUMBER=
..............................................................
:1; •Hr •?k t!!..P' 7k 'A: 'N: 7t 9k •lf 'ii' 'P: 'N: 'P: i+::!?• •i+: '1+: it 'A.• 4k 'A: 'lh .u. i!..)k ')k •fk ')}: ',?'
; ; ?;, ?;, , : s :.4 ISSUED PERMIT DATE= 0405/9i PAGE=
r-°•. 1+•
PERMIT
t.NI' : _ iRMAT.1..:.1+,,) �..:P: T..N..11.
}?. n..y..jt..1t. i1• ]F �",?"Ii' j+: ',?' j!",?' :IN j+"J+: ',� ',+: i?",1: :If 'II:
SITE STREET=
ii012 E 29TH AVE
PARCEL*=
28543-4602
ADDRESS=
SPOKANE WA 99206
PERMITTYPE i"EE:.
AMOUNT
PERMIT U':`E=::
GAS S WAJ t•E::E'•'. HEATER
MECHANICAL PRMT
35,00
E-`E...r"t•(;;:::::
00i393 PI...A'E Nf"iii1:;..._
1<Cii;OMO TOWNSITE
35.00
BE...O1..:K_::
LOT= ::=
ZONi::.:::: JIR....3:.5
D.I S1 :!r= I::-
r"jRis"r"t::::
I::';'f'1=
f- WIDTH= TH= ; ...
DEPTH:::: i'i:::: t W:::: 7(-'-)
OWNER=
r T EI';N.E. T ZE: 'f PETER
N1"1ONi::.::::
t..+0fi t}27 i :� , +,.j
AVET
ADDRESS=
:3 E -'OK ANEW tilA 99206
CONTACT Nf"1ME::=::
RU,t:S LUNfiE::
PHONE.:
NUMBER= 509 535 i 7i t
BU.E.LD.I.NI_r SETBACKS:
FRONT= NA LEFT=
NA RIGHT= iiiA
REAR= !''SIA
'Pi 'i+: 'Pi 9+i 'PfPi 3{' 'P: 'ri' -P: 'P: •JC 'P: •A: •A'
Tr 'Pr 'Pi $li •JE Mi 'P: •P: •Y: •P: 'P: •Jl' •1+i •P: •Pr 'i+:MECHANICAL
PERMIT1KP: •/?..jl..Ni
.jti .jt..Pi 'Pi .j{..1C .R..1?..1C .jt..Pi .jt. 31:.Ik 9+:.p: 9t..k..i?•p• :n;
CONTRACTOR=
BANNER FURNACE & t•-UE:::L
CO INC PHONE=
509 535 10i
STREET=
P 0 BOX 4346
ADDRESS=
SPOKANE lila} 99202
ITEM
DE:: CRIPT.1:C)1'•1.
QUANTITY
F E:: E:: AMOUNT
PROCESSING
FEE
Y
25.00
PAYMENT SUMMARY 3+i 94 •P: 'P: 9k •P: is 'lt 3+: 'R 'R' 'P: •N: •P:'J!..JI..�..Jl..x..J!..p..p:.p...J,. �..µ..x..p.
PAYMENT T:iA -E..:
RE:: CE: t.
r-°•. 1+•
PAYMENT AMOUNT
04/i5/9i
2055
35 00)
TOTAL UES.::::
!rit;
TOTAL Tf=jL 1« A I ,,.»:
PERMITTYPE i"EE:.
AMOUNT
AMOUNT PAID
AEffTUNf OWING
MECHANICAL PRMT
35,00
35.00
0(1)
35.00
35.00
0
PRI:iC;E:::SIf•''E::D BY: WE:::intDE::L . GLORIA
PR:I:N..i•E...D BY: L.!E:::NDE::E..., GI...ORIF-1
+• ?i: ?• •A• •}h 'l+r 9l' •N: 9!' iC :C 'P: 'JC 'P: 'N: 'JC .A..p:.p:.14• .j+:.p:.p:.Jt..P: 4p .I1..jl:.p:.?k .1k .)yTHANK '( .. I L. I .p:.j{.:?t• iti hr 'R• •!k 'Pi •Ik R' H: 9+: 'P: •!li '!+i -Pi 'Pt 'R' rPi '/!' •/!' j+.• •1G '/li 9t: •11.:)l..N_ .p:.,k .A..?4 •1k
Project
Address:
Dept:
Dept. of Bldgs
Date
SPECIAL CONDITION CHECKLIST
Condition:
Project
Init:
(in)
Appr:
(out)
*****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing:
Temporary C/O issued.
Office file review by: _
Filed insp finaled by: —
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
. Plans pulled for final processing:
�. Certificate of Occupancy issued:
Date: _—.—------_ _._—.------- ----.
Date:
Received by:
Date:
—
Special Insp. Final Report
—
Hydrant ( )
—
Lock Box
,_ :.. ;. -. .
+.:.;. , t :�.. .y,
,.; .:�..
4 +<1• :'; i,.. ;..i ...I i'1 .Y.. 3 .
�_ —.
_ 'G• iuiit a.:,� ', :.�i
.i�• yt. .i:: ..¢ :,
(. ;�i• fi• . —
r �
Y
Engineer's
RID/CRP _
Easements
i t _
Y,
Road PlansJimprovements.y
-
`•r.�"rt--
. _.
:.._.:
Bonds
•:'
-
...
*- i„tai rr,.
i=P4-k4. —
Planning
.
it=t i
---fir!--�--
.,P •
Double PlGmbing
Utilities
U I D;r-
--
Other
_ ..........
_......
. _.
............
_ _......
l:,
5.;
+
*****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing:
Temporary C/O issued.
Office file review by: _
Filed insp finaled by: —
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
. Plans pulled for final processing:
�. Certificate of Occupancy issued:
Date: _—.—------_ _._—.------- ----.
Date:
Received by:
Date: