1991, 09-16 Permit: 91005833 Pellet Stove � � R
SPOKANE COUNTV`DEPARTMENT OF BUILDINGS
W. 1303BROADWAY 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
,
?'+':i._i�.:...?..: I NUMBER= 91005833 7.:•`Ei.J.:.�E.i Pi::.Rm,. . ?f:,...:. = 09/16/91 P;:.it.•;-.::::
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PLATO= 000000 PLAT NAME= UNKNOWN
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DWELLINGS-
OWNER:.: ? F!!•..!RNH I l...L..; �4 GENEA 0 PHONE-- :i{:9 ...'.';,5 6341
STREET= 24310
RD AVE
ADDRESS= LIBERTY LAKE WA 99019
CONTACT ?''-1f-ii"if::..... +iii?..(?,7 ? H(":(Rjyj?..i'E'?...l... PHONE NUMBER- 509 ...... ... 6341
BUILDING Sf:. , ':s('!(.,F°•.:.: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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PHONE-
ITEM DEECRIPTION QUANTITY i....:.::. AMOUNT
PROCEEEING FEE
WOODETOVE/INEERT 25,00
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PA'(E"?::.f:? ! }?ia ? l::. : ::.t.:E::..E.? . O PAYMENT AMOUNT
09/16/91 ..:51 .. 50.00
TOTAL DUE= 00 TOTAL PAID- ...Fi:i +l::F(a
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 50,00 50,00 pit:i
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50, 00 50, 00 .+'::7F::}
PROCESSED !, '. : t,+i.yI''?!_>EL , GLORIA
PRINTED o.+' : WF;Ni?E_... , GLORIA
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