1991, 01-16 Permit: 91000170 Water Heater, Piping SF'v..
I certify that I have examined this permit/application,state that the information coni. ...tomitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In additic,!, 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
,:!MBE...
PROJECT NUMBER=,1'11:1 E::.i't:a: '''i !-Yi;ifi1 ,`!:t DATE= 01 /16/91 PAGE= t:i i
ISSUED PERMIT
tt :t..:1yr: (tt * { t t : *d.f.. c: (i7ifx 3 PERMIT
E ;" ` _ iwFO" 9: TI - .t•!!i :.*.it ji..j..}}.**JF iY*A'.E.L P'•S!••'jY:jM Vit•?!•:It.t'$t'.tR'.!:
SITE SIREEI = 11314
1x: i." ;•• 42ND CT f.:r..'1R1..•3:'.L4_ 33543-1509
ADDRESS= SPOKANE WA 99206
PERMIT T 'USE:::: GAS WATER HEATER ... PIPING
PIATO=.,i..... 003423 PLAT NAME=
JlMt
' - fhES1MEADOW :N% F „ i
BLOCK= f LOT= tZONE= j , : h } 1t :
.,w
AREA= ./rrWIDTH= tDEPTH= , f -
. c:
n BLDGE= .:.. DWELLINGS='r-NGS= i
OWNER= 1iES T :f::rlNt� , ,.i.i.M PHONE= 509 928 6057
STREET= 11314 ? 42ND CT
ADDRESS= SPi,lk.rA;l'N;::. WA 99206
CONTACT ` 1ME: ,TrrHEATING PHONE 4 + 'kERs509 125 4505
BUILDING SETBACKS : FRONT= ;,<A LEFT=-:: 1v{..y RIGHT= NA t't:!::.f�t!•a,;:r t'?!:t
**************************a**** MECHANICAL } R N inp*pp .nP*. t . .i ..*. k ....
CONTRACTOR= S Tt.1Y•;I"l HEATING PHONE= 509 ..... .. t.i':l':.
STREET= 204,,f 4 E INDIANA ,r''r t;E
ADDRESS= SPOKANE W f i 99207
ITEM 1f1..:::C 1i"'•3i.,. N QUANTITY i::'r:.E AMOUNT
E
PROCESSING FEE Y 25.00
i x F•`r,:> WATER HEATER i 10,000
GAS PIPING i
r tJ,.t ) ty , 1r r t » r r t: *t : n'tnnx* r aijPAYMENT s( " tt r ***********4****************
PAYMENT DATE E•t r:.'..:E....t.(::'"i",,. PAYMENT r 7 r•t 1..i.;i'••: i
01 /16/91 232 36,,01
TOTAL E AL.. fit.1;.;,= .00 TOTAL#":L P't"r.t.;,= 36 ,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT t ,.W I;'G
MECHANICAL PRMT 36.00 36 .00 ,00
36 .00 36.00 .00
PROCESSED
BY : UJE•!. NI"i GLORIA
PRINTED B`{ : 113ENDEi...; 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/CRP
Easements
— Road Plans/Improvements •
j . .. ,- - Bonds
t.
Planning Bonds
•
Utilities — Double Plumbing
ULID
•
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: