1991, 11-19 Permit: 91008005 WoodstoveSPOKANE 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 lVt.!!"{BI::.+,;:::: 91008005 ISSUED D PE.i{MI i
DATE= 11/19/91 PAI'slx1:. = 01
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SITE ... . .... .... T =x 7 : • OLYMPIC AVE- a ^ '
:.::::: 35643-2602
ADDRESS= SPOKANE WA 99216
PERMIT 1» U,1t::.:::: WcODETi..)b't:.
PLATO= c::fINVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= SFR DISTO= E
AREA=
FlA»yr1rr74? !; a — F WIDTH= 63 DEPTH=
Eei:irsF
;u:
0 OF ''LDGS= 1 i DWELLINGS= .:::: 'i t) WATER DIST ....
OWNER= NAI_YYFY, DEEz1 PHONE= 509 928 9242
STREET= 14618 1 OLYMPIC AVE
ADDRESS= SPOKANE 1.4A 99216
CONTACT 3AHE:HEARTH & HOME PHONE NUMBER= 509 466 8929
BUILDING SETBACKS: FRONT= N/A LEFT- N/A RIGHT= N/A REAR= i'»I%r`+
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CONTRACTOR= PELLET STOVE SERVICE
STREET.. 9335 N DIVISION ,S
ADDRESS= SPOKANE WA 99218
PHONE= ':509 466 8929
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y '5..00
ISIi ii a �Sf (.iVE • I N :t: R•T' 1 25.00
.. * 1 N 7 * ! Jt y4 * iS• A• •1,: •P: * * * 3l 'P: 'f{' )+.• )4• * •N: •t!• ),: •/{• A: * )': I' ' r•} ,/ m I::. N f s u I'i 1'I r 7 FS 'f * u .A..p..h. R. * * j,..A..A. ** * 'P:• 'p. R x•'P: b:' * '1{' .P:• * •+,: •P:• 'P: *
PAYMENT T DA ! E
11/19/91
TOTAL DI„!E:::
PERMIT TYPE
MEi.Hrt!'i.I.C:AL. F''RMT
RECEIPT : PAYMENT AMOUNT
3831 50.:00
.00 +R..±A... IAI._e:::: 50.,00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
50.00 r.::.•.
50.00 50.00 .00
0
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