1991, 08-22 Permit: 91005214 Pellet StoveSPOKANE COUNTY DENT 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 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 DATE
PROJECT NUMBER= 910052/4 ISSUEEI) PERMIT
DATE= 08/22/91 PAGE- 01
xiit iitriiir3r e iiE rit iif i4#ie iiPERMIT INFORmATIGN
*******x********************
SITE STREET= 1 5304 E 2ND AVE�=PARC'Ei:L..;:=:: 23541-1011
ADDRESS: VERADAL i_ WA 99037
PEERMIT IJSE= PE:I...I._ET STOVE
PLATO= 001752 PLAT NAME= NEWER SUB
Ii+L.0C1<- r LOT= ,ii CNE UR --3,: 5 DISTO= E
AREA= i: -IA== F WIDTH= 93 DEPTH=- 112 R/W
OF BLDGS= I: DWELLINGS= i WATER DIST
OWNER== REIEiER, JERRY A PHONE== 509 487 2919
STREET= 5319 E: UPRIVER DR
ADDRESS= SPOKANE Wi• 9920
CONTACT NAME=:: .JERRY Ri IBEER PHONE NUMBER=:: 509 4E37 2919
BUILDING SETBACKS, FRONT= NA LEFT:::: NA RIGHT:::: NA REAR= NA
iii{.****••u....ii.iii.if.ii.F)i•*******ii*%* MECHANICAL PERMIT iiii'kriririiiiiriirrr rr ri ii iiri3ir(#i( 7e ii * i4
CONTRACTOR== OWNER PHONE:
ITEM DESCRIPTION QUANTITY I::E:E AMOUNT
PROCESSING FEE Y
WOODSTOVE/INSERT 1 2`.5.00
**ieii..tt.ii..)f**#'arr***rkif..***ii..h..h..h.ii..R.****PAYMENT fi**s
SUMMARY ?i..A..)r ii:f#:ri..*x.**st•ii.�i..k..a. ii.'�.. +t. -X. if.
E'A1 yjr:.N-( ,al.irlr r-irc r
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
08/22.,'91 5921 50.00
TOTAL DUE== ,00 TOTAL PAID=: 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL. PRMT 50.00 50.00 00
50.00 50.00 .00
PROCESSED BY: IWENDEL, GLORIA
PRINTED BY: WE:NDEL, GLORIA
*******ii..)i.i(..**§iiiii#ii**#ii#.k.i{.i{.i{**i{.a[i{. i{ THANK YOU 'Y.'ili{'il'iC ii'iC'iCil*it* it il'iI'il.i{..p..i(.i¢ikil..A.}i'*it'it'il'if