1991, 10-22 Permit: 91007038 StoveSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 6ROADWAY AVENUE
SF OKANI<, 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. 1 understand that the issuance WMA permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions Many state or local law regulating construction, was a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION 0 ��
OWNER OR AGENT G� �Q� DATE
PROJECT NUMBER= 0007038 ISSUED PE::RiiiIT DATE= 10/22/91 PAGE_:: 01
a} ,� x r a �► a� a� a�
PERMIT :ENF"ORMATION
SITE: STREET= 12516 E :30TH AVE PARCELO= 7 74.r,.....l rl�•: 4
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL TALL.. OI: L.. STOVE IN GARAGE::
PLATO= 003776 6 PL.AT NAME= HILI. VIEW ESTATES REPL..AT NOi
BLOCK= i o LOT= 4 ZONE= UR 3.5 DI:ST*== F
AREA=:: F/A= E• WIDTH= S:t DEPTH= 130 R;'W= 50
0 OF BL_DGS= 0 DWELLINGS= i WATER DIST ==
OWNER= LAMBERT, ..JIM PHONE= 509 922 4944
STREET= 12516 E" 30TH AVE::
ADDRESS= SPOKANE= WA 99206
CONTACT NAME:::::: JIM LAMBERT PHONE NUMBER= 509 92.2 4944
Bii:Ei_.D:ENG SETBACKS: FRONT= INA LEFT= NA RIGHT= NA REAR= NA
lG of 9! �: P. 1?' 9t j{ 3i k k Ji H =10. i1 b 3F $l k: 1(k 3k . 1¢ ji• 7k
MECHANICAL PE:.RMI.J ji• 1{ k 'P: � 7l Il it 3{ �• M it R /{ A: ii � iE 'P: ik it .j( i F $ R !t
CONTRACTOR= OWNER PHONE--
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25 00
MISCELLANEOUS i i%00
PA'YMEENT SUMMARY
PAYMENT DATE RECE IPT4 PAYMENT AMOUNT
r,,
/91 7833 3500
TOTAL. DUE= .00 TOTAL PAID- 3
5.00
PERMIT TYPE. F"•EEE:. AMOUNT AMOUNT PAID AMOUNT OWING
MECHANI:C:AL. PRMT 35.00 35.00 00
3500 3500 .00
PROCESSED BY: ..JOHN LARSON
PRINTED BY: ,.JOHN LARSON
xxxxxuxR•xaittR.aett•>{xxnx>i�i• THANK YOU its#atiik}iiER3ikapai�:iiAiii�ii9cri�#ii•�{ic�:k