1991, 12-04 Permit: 91008389 Mechanical 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91008389 ISSUED PERMIT DATE= 12/04/91 PAGE= 01
•********************** *•>** PERMIT INFORMATION ***********•x**:.** :R•******** :
SITE STREET= 11120 E 43RD AVE_ PARCi-L.x= 33543-1302
ADDRESS=:: SPOKANE. WA 99206
PERMIT USE= GAS FURNACE, WATER HEATER, & PIPING
PL..ATro:= 000877 PLAT NAME= FOREST MEADOW 1ST ADD
BLOCK=: 4 LOT= 2 ZONE= SFR DIST:M== F
AREA= 00000000 F/A=: F WIDTH= 100 DEPTH= 150 R/W
4 OF BLDGS= 1 :»: DWELLINGS= 1 WATER DIST -.
OWNER= BA I LE::Y z DAVE PHONE= 509 927 4316
STREET= iii 20 E 43RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAVE BAILEY PHONE. NUMBER= 509 927 4316
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************•;i***** *****•x* MECHANICAL PERMIT *******•*******•,<* •*•n**•***
CONTRACTOR= A & M QUALITY HTG & ELEC INC PHONE= 509 928 2100
STREET= 12710 E INDIANA AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE Y 25.00
GAS WATER HEATER 1 10.00
GAS HTG EQUIP< 100, 000?BTU 1 12,00
GAS PIPING 2 2.00
**•x•}:•** •************* ********* PAYMENT SUMMARY ***************** :******** •*
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/04/91 9213 49,00
------------
TOTAL DUE== .00 TOTAL PAID= 49,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
MECHANICAL PRMT 49.00 49,00 ,00
-------------`�9 ' 00 ._.._.__.._. ._49,00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
** ***** *** ******** *****3 *** THANK YOU ****•*** *****3* x*****•****** •**•*h*
1
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/C,RP
Easements_
Road Plans/Improvements_
_— Bonds . .
Planning._ —_._ Bonds
Utilities-----.___ Double Plumbing
ULM
•
Other. —_-- — --
"`*****""********"`*****"*THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY*""*****"************"d**
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: