1987, 12-23 Permit: 87004251 Insert.1
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 and any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to give authority • violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance witprovisions of any state or loyal I. s •u .t' g construction.
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 87004251
APPLICATION
DATE
PATh
a3/e7
PAGE= 01
..................*.• *•:..****:
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SITE :: .j::...f:: 120 N CLINTON
O RD PARCELO= 15544-2401
(A±i.?1_iRIr..:» :.. " E1'•`t.7K (AtF'I1::. JJ(? 99216
PERMIT UEE= FIREPLACE INEERT
PLATO= 002620 PLAT : ' :.; SUB
BLOCK= LOT= i :::.'_:i'i1::.= Atx,::•UB DISTO=
AREA= 00000 000 1-/A= F WIDTH= DEPTH=
'R' OF .: l....i i =_Y :.: .... .;i DWELLINGS=
OWNER= GRIFFITH, BRAD
i R E:.1: (= 120 f'? CLINTON RD
ADDRESS= SPOKANE WA 9921.6
PHONE= 509 928 7608
CONTACT a :.» OWNER PHONE NUMBER=
.::•l;it 920 760B
BUILDING SETBACKS: FRONT= {: 00 k LEFT= :::: 0000 RIGHT= 0000 REAR= 0000
)* X 3* # 3 3• * 3i' •hi )k A{• if . )t: '. •. i{.:}{' )f )' x x{• )i'• -a: )c .ir. 3(... )!: •h: •hi MECHANICAL 1-` E R r f .1. 1 )!::u: )i: )k 3) . )h ri. )E..t•.}; ...{. ;!:. ..ty. * .: i+: * )!:.i; •t{• * •h:
CONTRACTOR= OWNER PHC)Nr:::::
ITEM .t?E: •' :R:EP•T'':ON QUANTITY (I t Y F E1..: AMOUNT
PROCEEEING FEE 15.00
S,:Itj IJi:`.>' 1 #..1VI:./..".,:r1:: 1c;T 'i 10.00
}a:?r...:; : : i ai3: Paa1::u0. * rg r p :�� iiPAYMENT `ibf,'. *.; * i i }.;. a; f*rS3{::j:i*
PAYMENT DATE t-•.Et.:1::. S.1" I O PAYMENT AMOUNT
12/23/87 5.152 25.00
TOTAL ! (t1... i:itJE:= .00 TOTAL # `A D= 25.00
PERMIT rYc.FEE AMOUNT AMOUNT AMOUNT O
'#T:
MECHANICAL .. 1 -'RMT 25.00 25,00 .00
(
25.00 25.00 .00
A"
.:.�...� t.:::. s ,`.• ::. BY: !"1AE i.: ii I',. t1 t.! r t_1 L
is i O ._ ' ... '?
PRINTED BY: M;F>CAF;':i.!; (:rc:i7(.)1._F:EN
isi { { b : ) * u *R{A)k .)..pk { A :{ : ' THANK ; ti { l 7. . ki.1 k r : , i. ..i...:F .}.} . f ....
}
PROJECT NUMBER= 87804251
°
DE- i,3'87 PAGE= 01
�u�D PEnnI�
*************«************ PERMIT INFORMATION ****************************
SITE STREET= 120 N CLINTON RD
ADDRESS= SPOKANE WA 99216
PARCELt= 15544-2401
PERMIT USE= FIREPLACE INSERT
PLATt= 802620 PLAT NAME= TART'S SUB
BLOCK= 2 LOT= i ZONE= AG%UB DIJTt=
AREA= 00000000 F/A= F WIDTH= DEPTH=
0 OF BLDG%= 0 DWELLINGS= . i
OWNER= GRIFFITH, BRAD
STREET= 120 N CLINTON RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 928 7608
R/W=
CONTACT NAME= OWNER PHONE NUMBER= 509 928 7606
BUILDING SETBACKS: FRONT= 0000 LEFT= 0000 RIGHT= 0000 REAR= 0000
****************************** MECHANICAL PERMIT *************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY
___
---------------------'
PROCESSING FEE
WOOD%TOVE/IN%ERT
FEE AMOUNT
----------
i5.0O
10.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTt PAYMENT AMOUNT
8O
12/23/87 5152 25.00
------------
TOTAL DUE= .00 TOTAL PAID= 25.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
-��
MECHANICAL PRMT 25.00 25.00 .00
-------------
-------------
____________
25.00 25.00 .00
PROCESSED BY: MA%CARDO, GODOLFIN
PRINTED BY: MA%CARDO, GODOLFIN
**************************»*****
THANK YOU
*********************************
411. INSP - ID 14
DATE 444
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