1991, 10-07 Permit: 91006555 Pellet Stover s
SPOKANE COUNTY DEPARTMENT OF BWkDINGS
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= 91 0 1!:>`y`_ 5 ISSUED PERMIT
DATE= 10,'07i91 PA;F•== Oi
*******3 *****3 ***********aka• PE EMIT INFORMATION **********3i***•****•;'<••;ti ****; **
SITE STREET= 4910 N EVERGREEN RD PARCELS:-: 34643-0801
ADDRESS= SPOKANE. WA 99216
PERMIT I_JSE:::= PELLET STOVE::
PL..A f ,:= 000758 PLAT NAME= EVERGREEN SUFI > T R n 1 1 5 , WES f F ARMS
BLOCK-: LOT= ZONE= UR -3,5 DIST4== F=
AREA= F/A= F WIDTH= DEPTH= R/W= 60
4 OF BI...DGS-: 4 DWELLINGS= 2 WATER DIST -:
OWNER= B OYD, CAROLYN
STREET= 4910 N EVERGREEN RD
ADDRESS= SPOKANE WA 9921 6
PHONE= 509 926 5557
CONTACT NAME-: PELLET STOVE SERVICE PHONE NUMBER== 509 466 £3929
BUILDING SETBACKS: FF.ONT:- NA LEFT= NA RIGHT= NA REAR== NA
ii*#akaeaiaiii•**ati*aiai•xaeat •aca{** •*aix**atof# MECHANICAL PERMIT**aiaixxaiai*•xai*aea4x•ii*at••>tiata:xaMa xai:
CONTRACTOR= PELLET STOVE SERVICE
STREET= 9335 N DIVISION ST
ADDRESS=:: SPOKANE WA 99218
ITEM DE:SCRIPTION
PROCESSING.FEE
WOODSTOVE/INSERT
PHONE= 509 466 8929
QUANTITY FEE AMOUNT
00
i nx06
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/07/91 r --r'0 50..00
TOTAL DUE= ,00 TOTAL PA:(D= 50,00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 50.00 50.00 .:00
50,00 50,00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY : WENDEL., GLORIA
***•*•**at*ae*•aiai***ai•x•**•l;*•**aiae***aiae** THANK YOU ai•*atat*a►•x*ar*at•*3**a+•h••xx•*aia1*a***at****• •**