1987, 09-16 Permit: 87002897 InsertSPOKANE 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 specdied 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 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 NUM}:1I:R:::: 87002897 DATE= 09/1 6/87 I:AGE= 61
ie#**j4M..)Fit..%.M*AAli)h****3[..1i..I(ih.tt..1F3i..** PERMIT INFORMATION .k..><..****utas
SITE ST'IEE:T:::: 19224 E NIXON AVE
ADDRESS= GREENACRES WA 99016
PERMIT USE= INSERT
.tt..* *.*..* .-)i? *.-X- (.....ft..u..x..*
PARCEL1'== 17.553-1407
PLATA= 001092 PLAT NAME= GUTHRIE'S VALLEY VIEW 05TH ADD
BLOCK= 4 LOT= 7 ZONE= AGSUB DIST9=- G
AREA= 00000000 F/A= F WIDTH= 75 DEPTH= 129 R/W= 50
OF Lil_DGS=: 1 ; DWELLINGS'- 1
OWNER= GOETZ, LLOYD A
STREET= 19224 E NIXON AVE
ADDRESS=:: GREENACRES WA 99016
CONTACT NAME:::::: I...EAI-I HAUER
BUILDING SETBACKS: FRONT=
LEFT=
PHONE= 509 924 7191
'PHONE NUMBER :::: 509--483 1 017
RIGHT-: REAR=:
Xiedr*aF of**-) X) aHe-X- )e9Hr de dr ae dei ******** 'M E:C:H AN:I: C. A I._ iERM1'T''ai-tae**3 --Heli* arae*.*. 4 ede dH..F****de
CONTRACTOR =: WOOD h WATER, INC.
STREET= 222800 N DIVISION ST
ADDRESS= SPOKANE WA'99207
ITEM DESCRIPTION
PHONE:::: 509 403 1017
GUANT,ITY FEE AMOUNT
PROCESSING FEE Y 15.00
WOODSTOVE/INSERT 1 10.00
#ititataeataFaeat ae.hi .le.tt.**x*.*le*.*********** PAYMENT SUMMARY *
PAYMENT DATE
09/16/87
RECEIPT'4
3762
PAYMENT AMOUNT
`2'=5.00
TO'T'ALL DUE=:: .00 , TOTAL.. PAID:=. , 25.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL.. PRMT ' 25700 25.00 00
25.00 25.00 400
PROCESSED BY: WENDE_L, GLORIA
iE.k.31.if.it..tt.aeieiFiiar.x.aeie D,;ia@%iiita[ir3Fi***.tt.#.tt..** THANK YOU ae.u..li.ie*.tt.ar.)(..)<.ii. if if..lt.lk:rz..tt..)lii.3[.i+..y..It.ie3(.ii..k.arii..li..riirii)e
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