1990, 04-09 Permit: 90001336 Pellet Stovesi
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROA$WAYAVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 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 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: nce of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel t,-• ovisions of any state or local law reg construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE ��< , APPLICATION .Cl
�
OWNERER`OR AGENT DATE
PROJECT NUMBER= 90001 336
YSSlJEDOAERMITO PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 3615 S WOODRUFF RD PARCEL.*= 32541--2004
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL PELLET STOVE
PLATO= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= SFR DIST*= F
AREA= 00015750 F/A= F WIDTH= 105 DEPTH= 150 R/W=
4 OF BLDGS= 1 * DWELLINGS= 1
OWNER= NEWKIRK, GARY PHONE= 509 924 3226
.STREET= 3615 S WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= GARY PHONE NUMBER= 509 924 3226
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
WOODSTOVE/INSERT 1 25,00
******************************* PAYMENT SUMMARY *****************i**********
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
04/09/90 1583 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL.. PRMT 50.00
50.00
PROCESSED BY: STEVE HOLYK
PRINTED BY: STEVE HOLYK
50.00 .00
50.00 .00
******************************** THANK YOU *********************************