1992, 07-09 Permit: 92005117 Pellet Stove SPOKANE 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 IPcal law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF e; APPLICATION
OWNER OR AGENT DATE
r.,, ,.., NUMBER= ', . ..._. ....f.. PERMIT DATE= •• . . . . . 2 PAGE= 01
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-ADDRESS=
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PERMIT UEE= PELLET STOVE
PLATO= 002646,'.. ?'LA ! NAME= : .!.!'?B!' ?"t.?...{.:ii''-,E ADD
.... OF:.. t , c'.... ;'' DWELLINGS= i WATER DIET .... VERA
OWNER= Ni t!t::rt tN . WILLIAM , PHONE- 509 927 2512
STREET=! :::: :; ;09 E TIMBER? .DR
t:it i )i';?::.::. :.. •• 'r'?:...:F i LJ fFi l...l::. WA 99037
CONTACT t'•1f:!t• BILL {N; E O t`•:
FRONT- RIGHT=PHONE J 'BEt: 509 2 ` 2512
BUILDING SETBACKS : . : LEFT- NA NA As: NA
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rcNTRACTcR= OWNER .... '-....
ITEM E!? it?_.:.:•t.:i;IP ! IO d QUANTITY FEE AMOUNT
•
PROCEESING FEE 25,00
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
07/09/92 5315 50,00
TOTAL DUE= ,00 TOTAL PAID- 50,00
PERMIT? I ", ?''C:. ?..t':t-• AMOUNT AMOUNT PAID AMOUNT OWING
•-----------
MECHANICAL t..l.,.l.,?... 50,00 _0 ,00 .00
50,00 50 .00 ,00
PROCESSED };t Y : .; I::.!`?;.?)::.?...! GLORIA
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***************** *******K*****. . ,::. . THANK you K:i.ai.:y.::.ji.::+.:i.*.7e. h:}{.:..pr•i+i a:k}! ii:* !i'*K§ K•fir'K'h:.p::`f'1i