1991, 09-27 Permit: 91006302 Pellet StoveSPOKANE COUNTY DEPARTMENT -4F 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
OWNER OR Aq
� APPLICATION a 1 ('�^�T _ 1. C DATE "n1EIIr..r Il
PROJECT NUMBER== 91006302 ISSUED PERMIT DATE:::: 09/27/91 PAGE=:: 01
if..tt..ii.ii..A..h.q;.u..ii..ii..p..tt..****11a'ii'ri'ii'irii'ri'it'9'** PERMIT INFORMATION#ii'#3itt'.x'a;*###iiiik'*ttit'iiiP#iiu'n H'ri'r: 'rc'h'
SITE. STREET= 1220 S BEST RD PARCELO= 23543-3103
ADDRESS= SPOKANE WA 992.16
PERMIT USE= PELLET STOVE
PLATt= 003154 PLAT NAME= VAN HEES ADDITION
BLOCK= 3 LOT= 3 ZONE=:: UR --3.5
AREA= 00000000 F/A= F WIDTH=
OF BL_DGS=: i 4 DWELLINGS= .1 WATER DIST
OWNER= LUCAS& DARREL.L W
STREET= 1220 \ HEST RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DARRE::LL W LUCAS PHONE: NUMBER= 509 924 5420
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR== NA
D I S T w: = F
DEPTH=
PHONE= 509 924 5420
R/W= 50
x..h..* tt .h..tt..x..*. ;;..a. a.';t tt .tt. * * * * * * tt..tt..tt..tt. * * *.tt..tt.u. {t. MECHANICAL PERMIT u' n..tt..tt..h..ri..h.*.A..A..tt..A...tt 11....h. tt. tt. ' ii..* tt..tt' ie u
CONTRACTOR= OWNER PHONE=::
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
WOODSTO'VE/INSERT 1 7'5.oa
tt'p;.tt..tt.tt'tt:*a(***.tt.*tt**tt'tttttt"x* PAYMENT
J_ I°I H< T ii..t**************************
PAYMENT DATE RECEIPT:« PAYMENT AMOUNT
09/2.7/9.1 7003 50:.010
TOTAL DUE:::: ;00 TOTAL PAID= 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
---------------
MECHANICAL_ PRMT 50.00 50.00 ,00
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
h*ii'**r***3('**.u'.*.i4.u'.h'.h'3i. 3('...h'*3**3k i*1*3*
tt. THANK YOU .a.
***it* #' R. k..1t' 9'-X..1(..3...R..R.... P.'. 1(" 1('