1991, 12-02 Permit: 91008280 Wood Stove SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
in it and submitted
Icertif containedthatlhaveexaminedthispermit/applicatign,statethattheinformationby me or my agent to compile said permit/application is true
Y
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
•P R ': # ti NUMBER= 1 `: 8. r t ISSUED ' s ! # DATE= 12/02/91 - : E
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TE STREET i 1 40 2TH ...f«S V 1_.
ADDRESS= SPOKA.4E WA 99206
PERMIT USE= WOODSTOVE
"iPT e_ "p' k C ' PLAT NAME= CONVERTED
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DATA
B#...Ot.:l:,:::: I. r VC 'DIST4=
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r.•1(<.[:.t:'i= 00000 000 ;. A.:.; t.. WIDTH= DEPTH=i j:::
4 OF BLDGE= 4, DWELLINGS= WATER DIST '
OWNER=
t R= I::'E;:`il,.YWt 1LORI
R.t.. . t'1 , PHONE= 509 926 1385
STREET= i '
(� i T:::: . ;{{:yaY 's:' , '"''I?# AVEfig i•"
ADDRESS= Si-•`i_.i1tA # WA 99206
CONTACT
: w"ACNAME=
Ar3 . , Ai GARDEN : (N t PHONE NUMBER=
i1ii = 509
tt
BUILDING SETBACKS : ... ' j: NSA _r = i : NSARIGHT= N/AREAR=
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CONTRACTOR=
I..iii#...1.:l.! GARDEN CENTER
STREET= 7310 E i
AVE .,w Y..: RHONE= ..,... ... .A
GUE
ADDRESS= SI-:OI,,i i!•Jt WA-
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ITEM .11ESt..:R?.#" # IO, +.,':..,r-i#•. ? .i. s FEE AMOUNT+t•r!
PROCESSING FEE
WOODSTOVESINarRT
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ac•r+:•!':P:1+:P.!4.4 ti k,}.:�.!F.A .+.iF 9l 3k Jt q..+t k:'Y:T:'!{•)i'7+;+:9t'P:'}L i"-r•;:T?"#i::.$�•j i. ,;•t.:#'?,'#¢:f{'�?
PAYMENT CATE RECEIPT4 PAYMENT AMOUNT
12/02/51 :} ., 70 , 00
r.
.# `t.% ? f#{... -371. 4::.�:: . 00 _ TOTAL -•,,
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I..�{::.�.!"#:I: ! i 7 �'l':. FEE AMOUNT AMOUNT PAID # I .. ✓l.l.
•
50.00 0:.00 .:00
PROCESSED :5Y : DOM:I T RU V ICH , ROBIN
PRINTED BYDONTTRI:t`+r i::;"i, ROBIN
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SPECIAL CONDITION CHECKLIST
Project
Address: _ Project# Use:
Dept: Date: Condition: 'nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
-- — Hydrant( )
Lock Box
Engineer's RID/CRP
— _ Easements
— _ Road Plans/Improvements
Bonds
Planning _ Bonds
Utilities — Double Plumbing
ULID
Other
*'*****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Date:
Filed insp finaled by: _____ �_ _ . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date: _
Plans returned: ___ ___ Received by: —_------
No response from owner/contractor-plans destroyed: —__—