1991, 03-12 Permit 91001047 WoodstoveSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 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 NUMB,.ER= 91001047 ISSUED PERMIT
DATE= 03 i 2 /91 PAGE_. 01
***11 at*ytii•**•Xii**9S'*. *********!t3t l'ERMIt INFORMATION 7t}L'it•***7kytyt It*'!t7:7t l:Jt7t9t Jtit11Rh9Y1tiEJth
SITE STREET= 8802 E BROADWAY AVE PARCEL,= 18544-0217
ADDRESS= SPOKANE WA 99212
PERMIT USE= WOODS TOlVE
FLAT;:= 001 28R PLAT NAME= HUTCHINSON' S ADD
BLOCK= LOT= ZONE= AGSUB DIST4=
AREA= 000000(0 F,`A= F WIDTH= DIE' T H= Fti°il,,i=
OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= WOOD, JACK & NANCY PHONE= 509 924 4686
STREET= 8814 E BROADWAY AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= JACK OR NANCY WOOD PHONE NUMBER= 509 924 46RA
:BUILDING SETBACKS: FRONT = NA %_EFT = NA RIGriT= NA REAR= NA
}l•J 9(7Lll$t yhh***hjl* MjlhtitR j¢7L*P:*b: Y:Jl•* Ykjf* MECHANICAL FERMI T k**Jk*****RP: ii•h)i***7i11*11 K XK•P:K
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
25.00
WOODSTOVE: INSERT 1 99.00
hri•kN:br*liiiii•uttiiitaik*iiiiu*i>:*k*k7i**#7i* PAYMENT SUMMARY * Its:***xKx•.uP:ll•1t1li1JL7l*)LP•is*!liE7iKR'
PAYMENT DATE REOEIPT4 PAYMENT AMOUNT
03/1 ?i 9i 1174 50,00
TOTAL DUE= a00 TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 90,00
0.00
PROCESSED BY: JULIE S'HATTO
PRINTED IBY : JULIE SHATTO
50.00 .00
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