HomeMy WebLinkAbout1991, 10-08 Permit: 91006624 Insert —_
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SSI'OKANE,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 p r•visions of an state or local aw re•ulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructiokis
SIGNATURE OFir
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OWNER OR AGENT i' - La _ _ i/..� DATE APPLICATION/
Q
40
PROJECT NUMBER= 9.1006624 ISSUED PERMIT DATE= 10/08/91 PAGE= 01
•P:•flP•)lA:k•*9l***•i@ri•P:••il*•;i•Yl*it A:ii••ii**kM* PERMIT INFORMATION *•)t**•R•**it•****•K'R•***** 'h : •*$:*'A:b.'
SITE STREET= 500' N FR E E";, RD Pt••I i"•CE t..:;,.....
ADDRESS= SPOKANE WA 99216
PERMIT USE= PELLET STOVE INSERT
PLAT p:::: 003395 FLAT NAME= HENDR I Ck,: ON ADD
BLOCK= I LOT= ;h ZONE== U R— 3.5 DISTO= 1.:
AREA=
F ;E = F WIDTH= 04 DEPTH= 136 R/W=
HI .j7( c d DWELLINGS= 5 WATER
DIST I =
OWNER= I)AUGHERTY RALPH & CINTHIA PHONE::::: 509 922 7875
STREET= 500y N R�E'L S RD
ADDRESS= SPOKANE WA 99216
("�f:I •j,CT„i a F',.== ,F, AL.!W�_i� �1UGtjrx:RTY _ PHONE 1110;BE:R - 509 922 78";5
rt+_ITI..!?.LN(r ,At:.rI !'tA(sk; : 1"hi[)1. i =:: i•.ii L..t.rT-:: NA RI�aHT.... A ,;F•t�FR:::: r!A...
iuiakti : r ba Ax k *x A*k ii k* i k k kfi kn k MECHANICAL FEFM] T ***Y **kMRbF$ NHPk**hi **A**
CONTRACTOR= OWNER PHONE::::
I TEM DESCRIPTION QUFNT1iifE : AMOUNT
PROCESSING FEE Y 25,00
***:ri.:A:.li•ii§,•*•it•a:3i ai••k k•it ii:u**ri ii••h:•*****•A:** PAYMENT SUMMARY hC ih•;t••)k**14 9t 9l•9k•R..H.9k ik•P:••1k•A:•A:P:P:il•*it•R•ik 7k•R ik
PAYMENTRECEIPT0 PAYMENT AMOUNT
10/08,/91 7434 50.00
TOTAL riUE"::::
10 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL FFM T 50.00 50:00 .00
50.00 50,00 ..00
PROCESSED BY : WENDEL.., GLORIA
PRINTED BY : WI E N I)E::L.., GLORIA
*xAxAAAxnki At Hb ** tiAh R*bk a Ak*a 4 tTHANK YOU x {) 3a A$ kk&AH AbR R k h k u APAbAAk AhAAAh