1991, 12-10 Permit: 91008516 Gas Log, Piping SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 AY AVENUE
SPOKANE, VWASHINGTON 9 260
(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= 91000516 ISSUED PERMIT DATE= 12/10/91 PAGE= i.,,.
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ADDRESS='• SPOKANE WA 99206
.-. ..
PERMIT USE= GAS LOG & PIPING
,.:! i..; # .,,..... 001393 :•....i:!T NAME= I<.L.,(i.:',i j"i i'i TOWNEITE
BLOCK= ZONE= UR-3.5
LOT=
r.
DEPTH= 130 RSW= 70
OWNER= WARD, ROBERT PHONE= 509 924 2674
STREET= 11219 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= NATIONAL l.:!"I.{.{'!N.::.i SERVICE PHONE NUMBER= 509 922 2000
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= NSA
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CONTRACTOR :: NAT]: :i i'Y f•,#... CHIMNEY SERVICE PHONE= 509 ..j!j!;>
STREET=i .•r,":f? ,`'? i:.) BROADWAY AVE
ADDRESS= {'l,-!#+,��J1':i1::. I:)f•'1 :'+-+ #
TTEm# J r:.::>�..#'`:j.�'` ! T:l.1 f 2 QUANTITY FEE I: M O+.1 i i
PROCESSING FEE 25 ,00
GAS PIPING A
1 , 00
GAS LOG
***4;:***************************. .I t!,"i t", :a,.`'d *********:*** **);:***KK:***
!•'{::f7#"t::.�ti ;�. ......#(.. . ,
PAYMENT DATE REi.:EIP { ;e; PAYMENT AMOUNT
12/10/91 9342 36 , 00
................................................
TOTAL !_1t.?1::.:::: , 00 TOTAL t-'i 1I:11-... 36,00
PERMIT TYPE !..I::'!': AMOUNT AMOUNT ;.:A_ D AMOUNT OWING
--
MECHANICAL I:;Rc T 36 , 00 3 :0 j . 00
PROCESSED t:t i : !J i.!M.{. i Pi l,1\.'.1.l.:#"t; ROBIN
PRINTED T;,' : :c.:ci M.i.T R I"?v:i.!'=;i••I; ROBIN
:.j::.,j..:A :j: ( Aj*:j*najjjA ( ja.ih ..in .. THANK y Cl'AG A) 1 } N;*NNt : ...* . .. *:*AP .i } * ..
•
SPECIAL CONDITION CHECKLIST
Project
Address: Project#______ Use:
Dept: Date: Condition: !nit: 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
— 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: ---_--------------_-----_-----___--------_____-_--