1991, 11-19 Permit: 91007995 WoodstoveSPOKANE COUNTY QEPARTMENT OF BUILDINGS
W.,003 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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= 0007995 •:-:•,:•:,.«,_. .. DATE= PAGE-
,_._
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PERMIT M IINFORMATION
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SITE.STREET= ! Y . 28TH AN ::. ' fti -_ = 27544-0603
ADDRESS= SPOKANE WA 99216
PERMIT USE= WOODSTOVI-�:
PLATO= 001705 PLAT
) M r - . MOUNTOIN VIEW 4TH ADD
r•tRc:.t.E- 0000 0000 0 P• / (.".t:::: F WIDTH= :i?i :P-• H R, W::::
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OWNER- .......... � i t . E::: } BOBPHONE= ,> _, f 459 5056
ADDRESS= SPOKANE WA 9906
CONTACT ! t--? NAME= NATIONAL CHIMNEY PHONE Nt.??"tB1::.j';-:: 509 9 -,1ry 738-0
BUILDING SE:::T:E:+rhCKS: FRi:si-:;T= N/A LEFT= N/A R:i:Gi-i'i-= N/A Ri:::l:!i;.°= N / A
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CONTRACTOR= NATIONAL t.:h e.1.t"t?'•tt::.T SERVICE PHONE= 509 .'!r'.=y •; .,%, :::t :-i
ADDRESS= SPOKANE WA 9920i
ITEM t. M D::.SC1't.'tP i.t.t.;N QUANTITY t.• I::. E AMOUNT
............................................._......--- ---- -............._ ._..........._ _...... -------- -------------
PROCESSING
_..........._............-----
i ,i t ] O 1 i,`; T:i V E::. ,/ s. N S F:. Ft ! i 25.00
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PAYMENT DATE tom: E:: i::..!. P 4 -4' PAYMENT AMOUNT
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TOTAL � � !.. ?::....::: . .00 TOTAL PAID= I_J :::: }; s t; l +: ! +: )
PERMIT TYPE t.. E - r•it"iOUN_(• AMOUNT PAID ..}MOi,iN't OWING
--------------- ..-....._..................................... —............................................ — ----------------
MECHANICAL
..«..—_................................----
50.00 50.00 00
PROCESSED ; . f . ?t'[tROBIN v
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