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„
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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, .,.
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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
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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#
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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: