1990, 02-12 Permit: 90000514 Insert SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY 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 stat-or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constru
SIGNATURE OF APPLICATIONa_ '�`(a
OWNER OR AGENT DATE `I
PROJECT NUMBER=. 90000514 ? "P61-0fr`fi'0 PAGE==0 .1
**********************x***** PERMIT INFORMATION **************************3 *
SITE:: STREET= 11011 F 43RD AVE PARCEL.'•= 33543-0310
ADDRESS= SPOKANE WA 99206
PERMIT I..JSF::=: FIREPLACE INSERT
PLATO= 000877 PLAT NAME: FOREST MEADOW i ST ADD
):;LOCK= 3000 L..[:)T=:: 1000 ZONE= SFR DIET4.-. I;
AREA= I /A = F W:LDTH. iii DEPTH= 166 'R: w:::: 50
4 OF I.tI...IDG,S= 4 DWELLINGS= i
OWNER= DAMITIO, CHRIS & JUDY PHONE= 509 926 7£177
STREET= 11011 E 43RD AVE
ADDRESS= SPOKANE. WA 99206
CONTACT NAME= OWNER PHONE NUMBER=
BUILDING SETBACKS : FRONT=: NA t..E.FT= NA RIGHT= NA REAR::- NA
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= OWNER PHONE==
ITE:M DESCR]:PTICT QUANTITY FEE AMOUNT
PROCESSING; FEE Y 2500
WOODSTOVE/INSERT i 25.00
******************************* PAYMENT SUMMARY *************************.;;
PAYMENT DATE RECEIPTr: PAYMENT AMOUNT
02/12/90 663 50.00
TOTAL... DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL. PRMT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
• ********•**********•*********3 **** THANK YOU *****************••*****r:aiai****.#.**