1991, 05-29 Permit: 91002901 Residence r
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
7r. 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
PROJECT NUMBER=
91002901 , i.i ."i. PERMIT. -.t. „ ., .. .. PAGE=' .. .
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SITE STREET= 12126E 37TH
-' ±'A::3`i..".. ....4rr. 2-154i -0219
ADDRESE= SPOKANE WA 99203
PERMIT USE= RESIDENCE .
_; . T i _ 004369 PLAT -NAME= FI4 # i " :
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ixi• DEPTH=t..
4 OF BLDGE= 4 DWELLINGS= WATER DIET = MODERN
141
OWNER= IRONWOOD
;ON, OOiMEZPHONE= 922 4
STREET= _.•` to BOX„A 99214 9..�.» 3=
ADDRESS= ;+i”'%,#i<;{'�?v;E
i
CONTACT NAME,, jOE PETTITPHONE NUMBER= 509 922 4141
BUILDING
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PHONE= 509 922 4141
STREET= I'# BOX 141291
ADDRESS= SPOKANE WA 99214
. REMODEL= ADDITION=
x 1499 SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DEECRIPTION GROUP TYPE sQ FT VALUATION
13491 .00
BASEMENT U R-3 VN 1499
RESIDENCE R-3 VN 1499 65956.00 :
ITEM DESCRIPTION Q I•tt' # .1. 1 i •I::..:.. AMOUNT
SURCHARGE 567.50
, i
ETATE
S,!..t1 I.,i V 1 .i.(' L. VALUATION i l.5 0i
L:,:
COUNTY SURCHARGE 90 .00
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CONTRACTOR= trRLV HEATING & A/C rN _
PHONE= . . 922 5000
STREET= 11816
ADDRESE= SPOKANE WA i:.
ITEM DESCRIPTION
-.:•:r.RIFT.,.»..,, " QUANTITY ' FEE A i'±#,J U#•`j .
{
GAS WATER HEATER i 10,00:
GAS H , t S i : 't t;i}.}! t;',i 0 0:i:i T U •i
12 .00
GAE PIPING 3 3.00
10 .00
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UNITED
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PLUMBING PHONE-t
STREET- 11302 E MANSFIELT DR
ADDRESS-RES;}- ,.:{.: KANE99206 ,v4
_. .....r c:,. QUANTITY ..._.t.
ITEM
T
.—
TOILETS 'i . 'ri'i
SINKS ,z.
SHOWERS .0v. -'
BATH TUBS i
KITCHEN SINKS 4
DISH WASHERS ISPOSAL i i 6 .00
'"i!;:i
GARBAGE
t-fl-ii::.1", 6 00
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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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 — —
ULID
Other.__._
•"•******••"'•••"".."*" ****THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY
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: ---- — ----
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