1989, 11-16 Pemit: 89004736 Pellet Insert SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
YIG, 1303 BROADWAY AVENUE
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 specified 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 HATE
PROJECT NUMBER=
fi E ', . t09004736 DATE= ti : i1 /$C
PAGE= 01
ISSUED E.,E-E?M•E••T.
.
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SITE STREET= 1707 S KELLER RD PARCELO= 27541 -1711
A1jJ: f E:::;::E:::. SPOKANE WA 99206
PERMIT U E= PELLET INSERT
PLATO= 001841 PLAT NAME= i•jl::=I'.(ll:t'1I Ii'•NI'T''r` TERRACE
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OWNER= CORNWALL, : r :1 Y sPHONE=� E . >: ? 926 3
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STREET= 1707 E !<;f::1...1...f::i:.: RD
ADDRESS=
SPOKANE WA 99206
CONTACT NAME= 1...aEE...(N C(.jRNWALL. PHONE NUMBER= 509 926 3074
BUILDINGSETBACKS : FRONT== NA LEFT= NA RIGHT= NA REAR NA
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CONTRAcioR= - t iL _ GARDEN�; E � CEd "=E IN _ PHONE= 509 la , 2911
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ETREET= 9310 E SPRAGUE AVE
F 1 i)T R f:: :.,`•':::: SPOKANE WA 99206
ITEM M :(:if::1.c::I:;If f'ICJ QUANTITY FEE AMOUNT
i.:Rc lC::E: : c I i'. (:Y r:'f::E::: i' 25 .00
EWE!.Ji..jDS t-t.j'e`f:.:'' .E.N,t'+E::.R I 1 25.00
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PAYMENT DATE fEfE " y PAYMENT
AMOUNT
11 /16/09 5761 50. 00
TOTAL .00 TOTAL 1"'r=i.!.r,:::: 50.00
PERMIT ('YF i::. I::F::E::: AMOUNT AMO OE..ti`u'T' PAID AMOUNT OWING
MECHANICAL f'[ P`1"(' 50.00 50.00 ..0f)
50.00 50. 00 .00
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