1991, 08-01 Permit: 91004693 Pellet StoveSPOKANE 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== 91004693 ISSUED PERMIT DATE- 08/01i9i PAGE.:::: 01
**************************** PERMIT INFORMATION *********3******************
SITE STREET= 422 S EVERGREEN RD
ADDRESS= SPOKANE WA 99216
PERMIT USE PELLET STOVE
PLATw:- 999999 PLAT NAME=
BLOCK= LOT=
AREA= 00000000 F/A=
4 OF BLDGS= 0 DWELLINGS=
OWNER=
STREET==
ADDRESS=
MC DOUGALL., JACK
422 S EVERGREEN RD
SPOKANE WA 99216
PARCEL.4= 22541-9077
RANGE
ZONE= AGRI DIST=:. F
F WIDTH= DEPTH= R/W=
1 WATER DIST =
CONTACT NAME- JACK MC DOUGALL
BUILDING SETBACKS: FRONT=: NA LEFT= NA
PHONE= 509 928 1699
PHONE NUMBER= 509 928 1699
RIGHT= NA REAR= NA
******************************* MECHANICAL. PERMIT ******************ai•*******
CONTRACTOR:- FALCO GARDEN CENTER :INC
STREET= 9310 E SPRAGUE AVE.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY
—
PROCESSING FEEY
WOODSTOVE/INSERT
*******************************
PAYMENT DATE
08/01/9i
TOTAL. DUE=
PERMIT TYPE
MECHANICALF'RMT
PHONE= 509 926 8911
FEE AMOUNT
2'i 00
25.00
PAYMENT SUMMARY ***********************•**•***
RECEIPT; PAYMENT AMOUNT
5270 50.00
.00 TOTAL.. PAID= 50.00
FEE AMOUNT AMOUNT PAID
50.00 50.00
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
50.0()
AMOUNT OWING
.00
.00
******************************** THANK YOLJ*********************************