1991, 12-04 Permit: 91008375 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W413.11 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= 91008375 ISSUED PERMIT DATE= 12/04/91 PAGE= 01
* ************************** PERMIT INFORMATION ********ai********* :********•
SITE STREET= 10103 E 39TH AVE PARCEL4= 32541 -2305
ADDRESS= SPOKANE WA 99206
PERMIT USE= HEATING EQUIPMENT & PIPING
PLATO= 002089 PLAT NAME= PONDEROSA ACRES 6TH ADD
BLOCK= 1 LOT= 5 ZONE= AGSUB DIST= Ii
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W-: 50
4 OF BLDGS= 0 DWELLINGS= 1 WATER DIST
OWNER= SANTENS, JERRY PHONE=: 509 927 1380
STREET:- 10103 E 39TH AVE
ADDRESS-: SPOKANE WA 99206
CONTACT NAME= AIRE VALLEY HEATING & COOLING PHONE NUMBER= 509 924 0018
BUILDING SETBACKS : FRONT= N/A LEFT== N/A RIGHT== N/A REAR== N/A
******************************* MECHANICAL.. PERMIT ****** **********•*********
CONTRACTOR= AIRE VALLEY HEATING & COOLING PHONE= 509 924 0018
STREET= 521 N ELLA RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING t�'EC::__.._._. _.._
-------- __.____fY[y a !,�i0
GAS HTG EQUIP< 100, 000?BTU 1 12.00
GAS PIPING 1 1 .00
*********** *************** *** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
12/04/91 9'20 7 38.00
TOTAL. DUE:- .00 TOTAL PAID= 38.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 38.00 38.00 .00
38.00 38:00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
********3*****•***************•*** THANK You ****** **************•****** •**•* :*
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
EasehlerltS
Road Plans/Improvements t'
Bonds
Planning_.__ Bonds-_
'.J..; .r. ::: -.:i:'. .if ( -'i,.:, ,' .<. ..: i.'y. , , R i r 1 ,i': I.. .,i. �,.'~ .�-.. .. .. -•If. .. 't': ..
... : ,
Utilities___._._.__._..__.._._ __ . .,,,_ DoublePiymtung•
— ULID
__--
Other
v.
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 ins()finaied 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: �__-