1991, 04-30 Permit: 91002174 Mechanical Fixtures SPOKANE COUNTY ,RTMENT OF BUILDINGS
W. 1303 i WAY AVENUE
SPOKANE., vof,isriINGTON 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
PP`•:?tj{::.?.: t NUMBER= 91002174 .1.:,:.}Ui::D PERMIT DATE= 04/30 i.al..r::. 01
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SITE STREET= 10918 E 30TH AVE PARCELO= 29543-5110
ADDRESS= SPOKANE WA 99206
PERMIT USE= 1 ,Si 4•'ti HEATING EQUIPMENT / :.. HEATER ... i.y(;.:: PIPING
1
PLATO= 001393 PLAT NAME».. {,t.:?{:r#�'i..i i t_�t,,e i••% '> .!. { 1::.
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'±r C:IP .?a...is i,.E= '{ 4 DWELLINGS= 1 WATER DISI '-'•
OWNER=tWNER= { ۥaT.'{...{,!R; WAYNE PHONE=
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E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT !''%AC'%{::.:::: ±ai.3R?..? HEATING EQUIPMENT {.:w {ay±:: NUMBER=tal::.R %`?` 534 4975
BUILDING SETBACKS : S"..t NT::. NA LEFT= NA RIGHT= N;';i REAR= NA
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CONTRACTOR= ,.-,:.:,.. ....i..i HEATING & AIR ..:O D INC PHONE= 5 0 534 4975
STREET= 5103 E TRENT AVE
ADDRESS= SPOKANE - • 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEEi.5 ti)0
GAS WATER HEATER
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?s€=i,r PIPING .._ :2.00
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PAYMENT DATE RECEIPT • PAYMENT AMOUNT
04/30/91 2412 49.00
TOTAL± r_ii D ±l:..... .00 i ?.t ± AL.. .'`r`},i 1! _ -49,00
: ....'. MIT TYPE:t ,., AMUUNi AMOUNT PAID AMOUNT OWING
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MECHANICAL PRMT 49.00 49,00 ,00
PROCESSED 1Ek.i t ..Ij•,i..iN LARSON
ON
PRINTED BY : JOHN LARSON
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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 OF OCCUPANCY 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: