1991, 11-18 Permit: 91007902 Residence, Gas, PlumbingSPOKANE COUNTY DEd:EARTMENTOF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, GTON 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 -�e_�~� �� APPLICATION ��-_��~_
OWNER onAGENT '"�^'---', �^~,~� DATE
"^ ^ = ^/
PROJECT NUMBER= 91007902 ISSUED PERMIT
DATE~ 11/18/91 PAGE= 01
SITE STREET= 2512 S ADAMS RD PARcEL4= 26543-0414PTw
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE — NATURAL GAS
005106 PLAT NAME= %p-64
BLOCK= LOT= 2 ZONE= SR-1 DIST4= r
AREA p/A= F WIDTH= 316 DEPTH= 169 R/W= 40
4 OF BLDG%~ 4 DWELLINGS= i WATER DIST = VERA
RICHARD OWNER= VELA, & TENA PHONE= 509 922 9669
STREET= 1018 S ADAMS RD
ADDRESS= VERADALE w* 99037
CONTACT NAME= TENA VELA PHONE NUMBER= 509 922 9889
BUILDING SETBACKS: FRONT= 85 LEFT= 49 RIGHT~ 40 REAR= 131
******************************* BUILDING PERMIT ****************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= CHANGE OF USE=
DWELL UNITS= i OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X %Q FT= 1900 SPRINKLER= N
xEw PARKING= O*AmD^CAp= CRITICAL MAT= N
DESCRIPTION GROUP TYPE %A FT VALUATION
----------- ----- ---- ----- ---------
BASEMENT F 14025.00
BASEMENT U 10296.00
GARAGE M-1 VN 914 RESIDENCE R-3 VN 1871 101034.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RESIDENTIAL UATzOw Y 755.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 120.88
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
WOODSTOVE/INSERT i 25.00
WATER GAS HEATER
j 10.00
GAS HTG EQUIP<100' OOO/BTU 12.00
GAS PIPING � 2.00
***************************** PLUMBING PERMIT
******************************
CONTRACTOR= PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 3 ------------------------- -------- ----------
SINKS 7.4 ��
12.00
BATH TUBE 1
% �
DISH WASHERS i
L �
CLOTHES i %c'WATE% HEATERS 1 6.00
FLOOR DRAINS i 6.00
SPOKANE COUNTY DEPARTMENT OF.BUILDINGS
W. 1303 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= 91007902 ISSUED PERMIT
DATE= 11/18/91 PAGE= 02
fl• I.• nk 3t• 3t iF 94•'1! i4' $r * 74• JF ]4n X' •)S• 9{ * •)(' it•'j{• F.•'j4.9k •1{•.j{. * •k' R 3t' ` _ •• ***K*****************)*******
t:= •lY'r! N" St.Ji'4?3ArtY "
PAYMENT DATE JSECE IPTO PAYMENT T AMOUN T
11/18/94 87 14 1019.30
TOTAL DUE= .00 TOTAL PAID= 1019.30
PERMIT MIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 880.30 880.30 .00
MECHANICAL. PI*1T 49:00 49.00 ,00
PLUMBING PERMIT 90.00 90.00 ..00
1019.30 1019.30 .00
PROCESSED BY: WENDE:L, GLORIA
FEINTED BY FORRY, JEFF
9r•R•9F9l•)t• 9894' 9l •9 @')E9k•j4.9F94.94.9F'R3t•j4. 9194.9094*9¢94.9k94•*M•s9F THANK ', **K******************************
I I °I W Y �i � tl I.i