1991, 11-15 Permit: 91007897 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKAWE, WASHINGTON 99260
1509) 456-3675
I certify that l 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= 95007897
ISSUED PERMIT DATE= 11/15/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET== 12104 E MAXWELL AVE PARCELO= 16541-0140
ADDRESS= SPOKANE WA 99206
PERMIT USE= HEATING EQUIPMENT (2) & PIPING (2)
PLATO= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= AGRI DIST4= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
.v OF BLDGS= 1 0 DWELLINGS= i WATER DIST =
OWNER= EBERLE WALTER PHONE= 509 928 4590
STREET= 12104 E MAXWELL. AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= HEARTH & HOME PHONE NUMBER= 509 466 8929
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= PELLET STOVE SERVICE
STREET= 9335 N DIVISION ST
ADDRESS= SPOKANE WA 99218
PHONE= 509 466 8929
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
GAS HTG EQUIP(400,000>BTU 2 24.00
GAS PIPING 2 2.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11/15/91 8726 51.00
TOTAL DUE= .00 TOTAL PAID= 51.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 51.00 51.00 .00
51.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
51.00 .00
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