1987, 10-13 Permit: 87003446 Insert SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 AG J y j 1> � APPLICATION S l 7
OWNER OR AGEN� H r { /�� /I DATE
PROJECT NUMBER=R= 87003446 DATE= 10/13/87 PAGE= 01
ISSUED PERMIT
****••x********************** PERMIT INFORMATION ****************•*****r at•****
SITE STREET= 6505 E 10TH AVE PARCEL_0= 24533..-0211
ADDRESS= SPOKANE WA 99212
PERMIT USE= FIREPLACE INSERT
PLAT:= 002614 PLAT NAME= SYMONS ADI)
BLOCK= LOT= ii ZC)NE= AGSUB DIST;= E
AREA 00000000 F/A= F WIDTH= DEPTH::- R/W=
:a OF BLDGS= ; DWELLINGS= 1
OWNER= WILSON, WALTER W PHONE= 509 534 0235
STREET= 6505 E 10TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= OWNER PHONE NUMBER= 509 534 0235
BUILDING SETBACKS : FRONT= LEFT- RIGHT- REAR-
******************************* MECHANICAL PERMIT **************************
CONTRACTOR::: OWNER PHONE=:
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 15.00
WOODSTOVE/INSERT 1 10.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
10/13/87 4193 25,00
------------
TOTAL DUE:- .00 TOTAL.. PAID= 25.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 25.00 25.00 .00
25.00 25.00 .00
PROCESSED BY : MASCARDO, GODOLFIN
PRINTED BY : MASCARDO, GODOLFIN
******************************** THANK. YOU *********************************
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PROJECT FINAL MISC - SIGN RELOC DEMO PLBM BLDG
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