1991, 07-16 Permit: 91004228 AC 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— 91004228 IS: t E ' +'i PERMIT DATE= 07/16/91 F:AGE=:: 01
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SITE
STREET 122 E: 39TH AVEF:`ApCi::.l....n.._: 32544....2i °'4
ADDRESS= _.`;-:to#;ANE $A 99206 el/O. —
PERMIT USE= AIR CONDI]: I ONER
PLATO=:M:::_ 411:/'.'1 .c.1. PLAT NAME= t-';,+P'•;i1P:,FL;+,3;',t•"•'; 4TH r•:DD ril::.; f..A I
BLOCK— i LOT= 4 ZONE= UR-3.5 DISTO= E
AREA= , A= F :+.i.i. ! f"I !.1#::.I:f'R 1_i . F. `. ,.
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OWNER— T is F: r,;i.??_1 & t.:I 1 i R A PHONE= .?1.r '::1::.:8 5481
STREET= 10122 E 39TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BI - } i"_ ' PHONE t s - NUMBER=: ^
.
BUILDING SETBACKS : FRONT= ,. {. # + -, in ;: f { ":: is-4A REAR= jf`
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CONTRACTOR= AIRE VALLEY iE ?T. Na COOLINGL . 509 924 . 0 1 a .
STREET= 521 N ELLA RD
ADDRESS=E:..:.", = ,•'•i:'O#?r•'•+i•':'E WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F`:E ••j f>n t)t.1
.
AIR CO,,",I.,....:-.,,ER
t••i.I.�•°: CONDITIONER ru;:I. 1 t.l.1!`•:1::.1.: 1.1....-.'? TONS::: 't 12.00
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a�.. ..+„?;n I•=I r•�;I•�;•( 1:'1r'n::�:�a:r:'1�:•n:'t:'r:•1�:•1,:'n;it a:•n:•a'1r:�::c sr ar**'?:'n:a.;1•
PAYMENT
M E: s v-. :.T E ^,,-•:•:E..I,•-.•:^p ,,n,:i�,E:`,.i.
I•�t..! {I'e�._I'� ! ;,:r-:; t +:: #'�..1::.l.•r:..t.I'• 1 :,i• 1”f-t f .. .N A M t:;i..l N T
0 ; /16. .'; 4;30 z7..00
TOT I AL DUE:::: .00 TOTAL AL_ 37,00
PERMIT TYPE 1..EE AMOUNT AMOUNT
PAID AMOUNT OWING
ECHAl'•t'.I.CAL. F''RM # 3 7 .: 00 37,00 ^0,ci
:: 7,i,.k) 3 /,-00 ..UU
PROCESSED
:i;: i 1 i,..E:. +.S F:;i BY :;7, .:t,Y.,r.. GLORIA
GLORIA PRINTED t x : i{i I::.1.1 D 1::.1... is I...+..?P4
"n " " x *s (* ¢* jjjx*, ikrj* . k. . : i ! , " Y ` i ii . .ini .R . ..iik . k i .i *0... k k k k i .p i 3
SPECIAL CONDITION CHECKLIST
Project
I 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 Borids
Utilities — Double Plumbing
Other
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY 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: