1992, 11-18 Permit: 92010121 Chimney 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 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= 92010121 ISSUED PERMIT DATE= 14 /18%92 PAGE= 04
**************************** PERMIT INFORMATION ****************************
SITE STREET= 19004 E 4TH AVE PARCEL;= 55202,0207
ADDRESS= GREENACRES WA 99016
PERMIT USE= CHIMNEY FOR WOODSTOVE
PLATY= 000498 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= 22 LOT= 4 ZONE= UR-3.5 DIST= G
AREA= F/A= WIDTH= DEPTH= R/W=
4 OF BLDGS= 0 DWELLINGS= 4 WATER DIST =
OWNER= OTTO, FRED PHONE= 509 926 1990
STREET= 19004 E 4TH AVE
ADDRESS= SPOKANE WA 99016
CONTACT NAME= FRED OTTO PHONE NUMBER= 509 926 1990
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE }• 25.00
MISCELLANEOUS 4 10.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT.* PAYMENT AMOUNT
11 /16/92 300 35A0
00
~_Yw ~
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 35.00 35.00 .00
35.00 35.00 .00
PROCESSED BY : BARRY HUSFLOEN
PRINTED BY : BARRY HUSFLOEN
******************************** THANK YOU *********************************