1991, 07-18 Permit: 91004179 Plumbing 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 �j APPLICATION
OWNER OR AGENT G� � 6 DATE Z //e/f/
#` °;{.. ,#..C^` NUMBER= 9ti::?•J4 t'' ISSUED #.: R n #._i. i:`, 't:.:::: 07/1O/91 :;F'{G - 01
i . iF i iii7J`} iNin) nN }*I S Mh 1tPERMIT INFORMATION i•t) 9 * tN91i } tn ? F i ?1tt1 :
SITE STREET= 11224 E 37TH AVE F:ARF.:EL4= 33542-1906
ADDRESS= SPOKANE WA 99206
INSTALLPERMIT USE=
PLATO=
: vn. S ?: v9; PLAT
# , « N}ME: 1 l.. T MARIE , :1t ?iSFR•, v.
BLOCK=BLOCK= LOT= 6 ZONE:.:.:: ,• DISTO= #..
AREA#:�'E.. q r, r- �:x .. ' x ins ?:i 5 0
=:::: q:}?:??:?!;??:)!:}lf;.} t••; (.:#:::: #.. VJ:t.7.? ? t'i..:: '? •? .: 7.?i-.�� ? ?":•:::: 'I '� .,:Ix#":: :.'
:st, OF 3. F:'!._I)#.x >a: D Id ::...i......N;r.... • W A TE f': DI E T ....
MING
, tom= .i,i,` °:"' '.5..• ..,:.
?.)VJt`t'1::.t'{::: t"?.?:!°�::��..+ , ROBERT #.:{-{s..t?'.1... :: r:•[-; r.,.,t..t.;t
STREET= BOX 666
ADDRESS= ,:..tz;'`iD(^{t...t::. WA 99037
'..:+_i j'a { (..i#..: ? ter-'s?"t E.... ROBERT {"}:#: •1#,.:,-; PHONE NUMBER=
y; } 928 . . . .
BUILDING .ETY -< , FRONT= + ` LEFT= NA 1s4r " ' i-: NA
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'_£ i=i.=i•iii.i;.. ..:, ..4.... �.1�_.. � ?...i.?�.
CONTRACTOR= HOLLY ' S PLUMBING PHONE= 509 924 7314
STREET= 1 t.}ti i?.:}3 E SPRINGFIELD AVE
+�•
ADDRESS= SPOKANE WA 99206
ITEM EM DE:•I..:r I! t .c:iN QUANTITY i..:...... AMiiUN-E•
PROCESSING . ..::i:: 25 00
TOILETS ,iii+,;i
SINKS; 16.00
SHOW
RS A
6 .00
* ***4k************************ A7 ,ENT -UN" `ri } r: r:*nr nc nn } * *nNnJnr nvJa ?*.Ji:i
P A Y t"t F{`,_ { DATE A # R.t::.t.:t::..! i.: t ,!r #.: ;4,i.i t::.?Y ? Ni.;
0 f`,'i 8,''•:'1 483? 43,00
,t.11::.DUE=TOTAL �% ':: 00 # O : fALPAID:::
.. .00
PERMIT { :"l "E: AMOUNT A" ri' v PAID AMOUNT OWING
PLUMBING PERMIT 43 .00 43,00 .00
PROCESSED .k(.. • i O H N E.•.(Ai:`• :t.. N
PRINTED BY : jULIE SHATTO
. ************K******************* THAN / y ,
'Ft'Pi it•Pi'i*')k'*i!i:.h.i*if 1*)*i'•i.i}•.?:'.ii.;•ai'Ai'Pi.ht•i*'iE•��i•Pi•iti iii'iii Pi'P1 i*ir.
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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_..___.-- ---.----____--
___-_-- _______ _ 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 0/0 issued:_____________ _______.______-_-_ ___._—___. Certificate of Occupancy issued: ._______ _____
Office file review by. _ ---- ate: ___-- -_.___-- ---- -...... -
Filed Insp finaled by: __-- -____.--_ __-_--_ —__. ate:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: ___._ Date:
—
_ Received____-- b — ----- -
Pl;�ns refurnec: _-- y; _.�__ ._.____-- _-_..
No response from owner/contractor_.plans destroyed: