1987, 12-09 Permit: 87004161 RangeSPOKANE COUNTY DEPARTMENT OFBUILDING AND SAFETY
I'
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(5O9)456'3875
1 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 to violate or cancel the provisions of any state or local law regulating constru-ction, or as a
warranty of confostate or locat laws regulating construction
SIGNATURE 0EAPPLICATION
OWNER 0RAGENT v��^K«'��/�'�c.�'�,/ �~/��/` DATE
,
1
e
.
PROJECT NUMBER= 37984161 W)JiRDiP01,f87' PACE= 01
****«*«*«****�**»*«********* PERMIT INFORMATION ***************************
PARCEL4.; 17��Z'82i5
SITE STPE[i= 9o85 E MAXWELL,AVE:
ADDRESS= %P0(ANE'WA 99286
PERMIT USE= GAS RANGE
PLATt= 801640 PLAT NAME=, -MISSION ADD � �
BLOCK= LOT= ZONE= UM!.• UITt=. E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
t OF JBL��= t DWELLINGS= . i �
OWNER= CRUZAN, SHANNON
smart= 9685 E MAXWELL AVE
ADDRESS= SPOKANE/WA 99286
PHONE= 589 926 6937
CONTACl NAME= OWNER PHONE NUMBER= �89 926 6837
BUILDING SETBACKS: FRONT' 0000 LEFT= 0000 RIGHT= 0000 REAR= 8888 '
*****************�************* MECHANICAL PERMIT ***xx****)*x**vx***4*o**v**
CONTRACTOR= OWNER PHONE=
ITEM.DE%CRIPTION QUANTITY. FEE AMOUNT
---_-_ ---.-------------- --------'-
PROCESSING FEE
RANGE ' ` . i . 6.50
'
' ,
******************************* PAYMENT �UMMARY ***xxv�v*************k**x�*v+
- �
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT '
�
12/09/87 5014 :21'58
TOTAL DUE= '88 TOTAL PAID= 21.58
PERMIT . fl'PE. FEE AMOUNT'..' AMOUNT PAID AMOUNT OWING '.'
--------------- --^`-`^'`-'-- -----'^-^-^` ------------`
, `
MECHANICAL PRMT ' 21^50 ' 21'58 '88
_`---------- `--''`-~----------�-/----
21`58 � 2i'58 ^88 ,
PROCESSED BY: MA�CARDO/ GODOLFIN
�
PRINTED BY: hAECARDO/ GODOLFIN
****************«*************** THANK YOU **«*************«************�***
.
INSP - IDJ
d
710
1 DATE
e
1
BLDG
PLBM
0
W
J W
mg
O°
DEMO
RELOC
Z
0
N
1
0
N
PROJECT FINAL