1991, 04-05 Permit: 91001612 Water Heater SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
1 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
1
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9 NUMBER-; { PERMIT
PROJECT i i{ { {•;':::: '.i'i t'}9:} { :�:! : _{ .� , ?} l}t»f i !.::.. &4/05/91 PAGE=
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SITE STREET= 1290 ( t A
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1 PERMIT USE- GAS WATER HEATER '
1 PLAT4- 001213 PLAT NAME= HILL VIEW EETATEE
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WATER! r. DIET
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1 ADDREEE= MEDICAL LAKE WA 99022
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CONTRACTOR- :ri'EARE PHONE:, 509 489 1170
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{.'OC ING FEE 27 , 00
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0 1::'i.:.:1 Y M E i'.4 T D A T E RECEIPT4 PAYMENT AMOUNT
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1 PERMIT TYPE i I::. y::'f:: ... AMOUNT AMOUNT PAID... AMO Ii'i..'. OWING
MECHANICAL M i 35,00 ,}i., s ,._t.,
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' PRINTED •t•'•'':' WENDEL, GLORIA
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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/CRPEasements.__ -----------_._._______—_---------_—__--
Road Plans/Improvements -_----------__ _- -----__._._.
_-____.___ Bonds_. --_
Planning.___.__ Bonds ._
Utilities_________.__—. Double Plumbing-- --------____--
U L I D
Other______.
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATEOFOCCUPANCY 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 finated by: __._—. Date: --------._ _____..___-
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans: Date _ ___
Received by: ___--_----
No response from owner/contractor-plans destroyed:______________