1991, 10-31 Permit: 91007455 Insert 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 icformation 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 stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECTNU;•,Ictr: r.,°:::: 91007455 ISSUED Ul::1:: :',::,;i`'ii DAT' = 10/31 /91 PAGE= 01
1L!L JL 3!.!:9{ }..?.,?;?.-!..?l.,L F.•i!?�;+r•Y7•1M".•?•:+i 9'•5!;•jj. PERMIT INFORMATION *?+i•f 9L•t!•)t•j..}(.a.:tf!7?t•iG'1T'9Y? )E t S'i•}:i!j..!!;.i;..+.._!(..j•:i:;.y:.
5:.!T, ... ' 2424 '=t VERCLER RD PAi , n..... 27543-2601
ADDRESS= SPOKANE WA 99216
PERMIT USE= PELLET INSERT
PLAT4= 001228 PLAT»r ;`•1AME". H" 1 .,.I.. �; # ACRES 6TH A l,`;±
is
BLOCK= ;h LOT= i ::.ONE= UR-3.5 :Ji 7 ..
AREA= F/A= F WIDTH=
WATER 0
DEPTH= , r . . . :
r : F B . vG . : D '
....
OWNER= ; ,.:;t f ;";,..,N GARY t.. -t E::. - 509 924 9363
ADDRESS= •i,t i Ii'.i'f#''•kI::. WA A ..:'1 ,:.
C iN T! C : NAME=
N ,M E .
; : ; - . PRODUCT PHONE t% "} I ' 509 536 8: f !
BUILDING SETBACKS : FR.;;`•1 :::: •,•A LEFT= NA RIGHT= NA
******************************K " : lifiA . PERMIT j: jjji : 1 ij: : L j :ryjjjjYj. j:jj
CONTRACTOR= r.';''i l•=.'#. PRODUCTS U PHONE= 509 9 ':'.:i,.. ... 8361
STREET= 1225 F TRENT AVE
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY :i # AMOUNT
;t..: ,..r.. .5 . 00
s ,, **,ti,********* ************ **S±: .rj.
+- ------------------------------------F: . ..,:L 1•.f•.t+. !; :{:. :{3.1L .t+. L { . :L t+;!:t �}tr•i iu:•'C 'i-� (2'i.::.i'. :::1..1#"##''1 j•�'yt;�'i
,
PAYMENT DATF;:: t't:1::.i..:�::.�.1.: i :w: PAYMENT AMOUNT
10/31 /91 8238 50.00
................................................
TOTAL DUE=.... La+:! TOTAL i.:A :1:::. 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL..:AL . .'•.i'' # 50 .00 5 :1s .0 .00
f"r'•"0 0 }0 L;0 00
PROCESSED BY : d. 4} v1J GLORIA
PRINTED � � - 4 ? .i GLORIA
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