1991, 08-29 Permit 91005427 Pellet StoveSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
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 perm it/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 lawsand ordinances governing this type of work will be complied with whether specified
herei n 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 constructio/
SIGNATURE OF APPLICATION �• �Q `��
OWNER O DATE-
PROJECT
ATE
PROJE:C:T NUMBER= 91005427 ISSUED PERMIT DATE= 06/29/91 PAGE== 01
PERMIT INFORMATION##ter#x*t�*#*#x*
SITE S'TREE.T= 17008 E I:{ROADWAY AVE: PARCEL.4= 135444802
ADDRESS= VERADAL..E WA 99037
PERMIT USE= PELLET STOVE INSERT
PLATO= 000868 PLAT NAME== FLORA ACRES SUB
BLOCK= i LOT= 2 ZONE= UNK DIST4= G
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
y OF BLDGS= 1 4 DWEL-L—INGS'= i WATER DIST ==
OWNER= STL--RNOD, GARY & KIM PHONE= 509 927 7981
STREET= 17008 E BROADWAY AVE:
ADDRESS= V'ERADALE WA 9903'7
CONTACT NAME= GARY OR KIM STERNOD F'HONE. NUMBER= 509 927 7981
BUIL...DING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
x�xxx••xx•#�#;�x..x..xx+x##x MECHANICAL... PERMIT atxxxxxxax�c##x#***x
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
— — ---- ----------------------------- ------------
PROCES'SING FEE Y 25.00
WOODSTOVE/INSERT 1 25.00
xxx*xxxxxf<xt�xx* **x•ftx•xxat• x*#**# PAYMENT SUMMARY
PAYMENT DATE RF—CEIPT4 PAYMENT AMOUNT
06/29/91 6157 50.00
--------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
----------- -------------- ---- ------------ -----------------
ME:CHANICAL. PRMT 50,00 50.00 .00
------------•--- ------------ ----------------
51
------------.....`_11 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
*x#x•x#xx**x**x*xx•x•#x*xx THANK YOU #xxx#xx•*xa�xtcx•xx*xxxxx•xx•xa�xar