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1991, 01-03 Permit: 91000029 Wood StoveSPOKANE COUNTY!'DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 1599) 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 / 3 - 9 / PROJECT NUMBER= 91000029 PAGE=DATE- 01/03/91 . ISSUED E'#::.Eti"i.#:•# ... ...... . _;..,•o„ i!• •t?- 14 1?• 9k R )k 1!• i!• i': 9!• -}¢ N- 3?• •Jt 7!• P• )t •)?- i?• 9k aE iE 9k Y• iE 1': H: ±.' ::. ?'t ?"? .. , .I. ±•.... t.l �. ?�? 1•�I I C 1.,1 ±'•,1 * h: •)F 9k •tl- •1=: •Jr •N• tY Jr ii• t`• * •JF 4t• i!• •1!• ?F• 9k t4 9=: )•: 7N •P• 3}• )!. Vit• :}{• SITE STREEf= 4/03 ±'. t.: k t.i l:r :'° RD P(•1.': i..: ::. ?... ;,: a:: 02541-0616 ADDRESS= SPOKANE WA PERMIT USE= WOODSTOVE PLAT4= 001383 PLAT NAi"i#::::::: KING SUB BLOCK= iii_ #<.: iLOT= 3 ZONE= f°, r. • I..I ':t D—,!,— ,::• AREA= 00000000 1• / r.:,:::: #•- WIDTH= ?•H:::: :;l;:J ?,J#: 1 ± ±•1:::: -140 +h°,',:,:::: 0 OF i , C=r_i ,DWELLINGS= i OWNER= B UDOS , KATHLEEN STREr:, :•, 9 :•y 2 :: i�ttj:i#�,#::.....: SPOKANE WA 3' � .•..4:J,^, CONTACT NAME= S#..#ARC:ti'4 W1:Nt:,i OI.,.4,T PHONE NUMBER= 509 BUILDING #::: • int (? C:: #1, • FRONT= NA LEFI= NA RIG, .,. ik 4k 7!• A * H- 9tr 91- •Pi 94 7k P: 4!• •A: •A• •/l• •!k -H n 'Ai N• 9k •R• •Pi 9k Ni * 7k * •A' i,} i`' .:. [.: #"7• t N .I. l.: f•'! ... R #::. R C! .. I **********************K*** uuNTRACIOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY EF• f.. #:L: A m l :i i..: N •T PROCETING FEE Wt,i(iD,';f ''E/INSERT.# ,_..; . 00 *.n: n: •Jk •u •J!• * * •h: •J=; n::,;..Jt• u• )i• * •u: •r:.,,..Jr * •n: •ie •n: * •n: •n: * »: •J!• •J!• R A Y ?' 1 E i J ... Sy i.. I i"S T.j A i•t y k *.}{..it• -k ie •'ti. };..J=: •ii •a:.u..}f..ii• * * -J!• * a!: -n: -J,: * •ir •n:.(,:.yi :,•. * PAYMENT DATE RECEIPT4 PAYMENT AMOUNT 0i/03/91 44 50.00 TOTAL DUE= :.00 TOTAL PAIL= 50,00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MECHANICAL PRMT 50.00 .00 50,00 .00 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE ,+ #"# A •T #• C# •r.• •u •Jc * •Je n• •J!• •J!• •n * •x: •J!- )!; :p. ,; • -N: •h? h• r• * * fi; ?i * h: * 34 i4 N: * •ii• •ri• THANK f is i I.. I i.....- u• ik n: •}i• * •n: * n: *:_!..M..y;::n• •n: •r: •if• * 'r •i!• •n: * •r: •u: •n: 'J=: •i!: 'n:.,!..,,•. Project Address: Dept: Date: Dept. of Bldgs. Engineer's Planning Utitities Other SPECIAL CONDITION CHECKLIST Project # Use - Condition: Special Insp. Final Report Hydrant ( ) Lock Box Init: (in) RID/CRP Easements Road Plans/Improvements Bonds Appr: (out) BOrld Double Plurnbin.9 ULID **************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ********************—******** Date received for C/O processing: Plans pulled for final processing Temporary C/O issued: Certificate of Occupancy issued: Office file review by Date Filed insp finaled by: Date: Ninety days after C/O issuance: Owner/contractor called regarding the return of plans Date: Plans returned Received by: No response from owner/contractor - plans destroyed: