1991, 12-12 Permit: 91008600 Mechanical Fixtures SPOKANE 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 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
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MOUNTAIN 29TH AVE PARCELo- 27':;44-0U2
ADDREEE- EPOKANE WA 99216
PERMIT UEE- HEATING EQUIPMENT 6 PIPING
PLATO- 001707 PLAT NAME=
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AREA= 00000000 F/A= F WIDTH= DEPTH= R/W-
PHONE,: 509 924 6a7:,9
ETREET- 13606 F 29TH AVE
ADDREEE- EPOKANE WA 99216
{..:m-J ; ¢::!. ; ;A bl : :" , :iCO , PHONE NUMBER- 509 466 0929
BUILDING 1::. i ..i 1••(i.....:.. : FRONT- .. LEFT= A RIGHT= N/AREAR=
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CONTRACTOR- PELLET ETOVE EERVICF PHONE- 509 466 O'92';''
PROCEEETW; FEE
GAE PIPING
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PAYMENT DATE RFOFTPT6 PAYMENT AMoUNT
................................................
TOTAL DUE= , 00 TOTAL PAID- 30 , 0
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PRMT 32„ 00 30, 00
PROCEEEED BY : DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH ROBIN
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SPECIAL CONDITION CHECKLIST
Project
Address: Project#_ _ __ Use:
Dept: Date: Condition: 'nit: Appr:
(in) (out)
Dept. of Bldgs.
—_ Special Insp.Final Report__s
--- .__ Hydrant ( )•
_
Lock Box
Engineer's--._-___ RID/CRP
Easements. —
�___ Road Plans/Improvements
Bonds —_
PlanningBonds
Utilities. Double Plumbing
ULID
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 C/O issuance:
Owner/contractor called regarding the return of plans:__ Date:
Plans returned: -___. Received by:
No response from owner/contractor-plans destroyed: