1991, 10-14 Permit: 91006816 Insert SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASI4 NGTt2N 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 local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF A " � CI APPLICATION /J /,V/J7
OWNER OR AGENT DATE
P R .1 E::.1.: { NUMBER= 91006016 SSt,i!• f_? PERMIT .: : 1 t_ .. . .. i t-'7 E.'-..:::: Oi
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! ? E::. SIRLET= 803!.!3 i'.+ w.i ; { i i E't; 1-'A R 3,.i-LO= 16541 -082
ADDRESS= I'Pi..iK,A.'•lE WA 99206
PERMIT USE= INSERT
PLATO= 002139 PLAT NAME= REGO ' S ADD
BLOCK= LOT= ZONE= UNK DISTO=
AREA=A.... '::1!•:?+:/l::1'•;1'-•;1'-•;lt:! F/6- f•:} WIDTH= DEPTH=
0 OF {'i; t.1- '* .,,- DWELLINGS= i WATER DIST
OWNER= SWELL: t:fAR:;;y PHONE= 50 924 6770
STREET= 303 N WILBUR RD
ADDRESS= SPOKANE WA 99206
CONTACT r:1A1";I - LAYRITE PHONE 4`-1i Et`'1 'i':.., - 509 536 0361
BUILDING : Extt < ; : FRONT= 1tLEFT= NA RIGHT= V A
REAR=
*)******** **** *****:k******** MECHANICAL ,.?1_i+.`t't 7 i ****:**:***************-K *
CONTRACTOR= LAYRITE PRODUCTS PHONE= 509 536 8361
STREET=
:.. 1225
TRENT (.: E
ADDRESS= SPOKANE WA 99220
ITEM_:N ) :.... . R2.i' . ION QUANTITY FEE E t:!1`'1 i,UNt.
PROCESSING FEE 25 ,00
WOODSTOVE/INSERT 25 ,00
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PAYMENT 1,`A ! t.. ".E::.i..:E::..E.?.. E .,,. t•:}.:t Y t"E E::,r:? } AMOUNT
10/14/91 7603 50,00
................................................
TOTAL .. TOTAL PA.E.t_!:::: ".;0 . 0C)
PERMIT E . . .... FEE AMOUNT AMOUNT .'r-•!!..?i '•:!MOU. . . ... .. ...Nt.+
MECHANICAL PRMT 50,00 , 00
50,00 50 ,00
PRINTED BY : jULIE SHATTO
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