1991, 06-20 Permit: 91003488 AdditionSPOKANE 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 issu nce 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 p visions 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 C � ✓ �y� DATE 64:2O
!-`!,i»?_?EC E NUMBER= 9100341.38
........... •i !r a ii li• -• )i -i •f 'h •G
•j =i 'j7.7.'i. {' .�i :�`: 9k -!k -)•`. •1'.' T: )!: •!_: ) ?' 9 ?' 9`. 9: { :.: '.: '.. 9k :: '1: -7::: 9:
::I.!E:: STREET=
ISSUED PERMIT DATE= 06/20/91
E: =f" {GE: : :: 0.1
PERMIT INFORMATION .7 ji. §i• i1•.i• ?7 •i7 •a• 3r r. a,..n. n .,,..1,..1,..1,..1,.*.m * * fr * ,, •:_.• * :»..
17616 !::. f• t L.. K 1. AVE . f., P', f: E:.1... •r• -•• 18553-0504
GRl: :ENF•iC1'•'.1::. i WA 990.16
PERMIT USE= RESIDENCE ADDITION 1...a:t. +:1 :!•ft- ROOM
AREA=
.L. OF BLDGE=
OWNER=
'TREE:: {'_..
ADDRESS=
t.1,.1,.y.y,:0 1::i..A r.t•�t!"11°= (;ii1''.s.l,N ADD TO i.�l�;l::.l:::t'�11• "tf l::S
17 ....
... . ZONE= : 1 .
0: 1 7 400: ! F WIDTH= E:71°
; ? A111.1i T `- WATER > T . CONSOLIDATED ! t :
41
f AN?_ T , WESLEY & SUSAN
17616 !'• ,ttt !...1 {, .1. AVE
GREENACR S WA 99016
CONTACT !'`ffi!"!l::. : : :: WESLEY OR SUSAN Y AND t
BUILDING SETBACKS: : h•!•;t.i!`- 1'I'.... 69 LEFT= ..
}1.37.7 •R? •...7 x• 37 id• fii n: j7.7 •'r-; i7.7 •u; * ;n-• •}1.37.::.7 * * •j7.7 a; •b: * Y:: u :i:1... T:j I: N t:;
CONTRACTOR= OWNER
NEW=
DWELL UNITS,,..
BLDG 1A1 X Ij :..
iiE: Q 1:: =F't1"`.1 <..i.i`,fr::::
REMODEL=
O i..: •t.: t.? P :.
L .. rj ::
DESC;RIP T I :CiN GROUP UP 1.,YE;E:::
RES ADD E.'- 3 `g'!•,f
ITEM E.1"1 DE CR.EP! .1.t,IN
..................................................... ...............................
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY :: E..i 1:; is 1•i fit 1 G 1:°
a7 ...7 . * •j7 :1;• .7 ....j,; .i1....i1..; 37 37 * -'n; .7 h; • ........• :n:.7
PAYMENT DATE
TOTAL DUE=
PERMIT TYPE
BUILDING EPr,,
509 924 407
E °'1 °1( :1r?1::.
NUMBER= + "%09 2 : {.j..'...i
E;::i: t:Y 11'T' -.. 1: ::'v;
REAR= 100+
°` E :. P'•'. !"! .1. »! **if.********* 'P: •PrPi •X** * * .7 'Pi 'N .7 -P• .7
ADDITION= X
BLDG HGT=
234 SPRINKLER= N
CRITICAL MAT= :: :: 1`•?
r, . ,3333.. VALUATION
..... ...............................
234 7722 .. oo
CHANGE OF USE=
STORIES=
QUANTITY
. ...............................
PAYMENT SUMMARY
RECE:ri:: r :P
3970
FEE 4iY11,iE„ N 1
119.34
3333.._ ................. 3333.
119,34
FEE AMOUNT
i-
.4,50
15,84
......................... ...............................
.x..n• �u• �n: •n: •n: •n: •lr •n: •m •n• •:!• -x -n: •n: •n� -n: •�r •n: -n: n: ��r •n: •n:.:a .:,: •n :.x.
PAYMENT :.- 33:•:,,,,33..
119.34
3_333. _......._.........
119,34
AMOUNT OWING
.00
,00
TOTAL PAID=
AMOUNT PAID
119,34
119 ,34
_••• r -. :-. •- : •, : •, 333 3, „ . , •.• , -- : •,
P R z.? t.:1. .. i::. )_, BY: •..? t.? !333 3!. !:: !•1 t a ! + O
:::: �. , .. :. •.: : •, , 3:33,3 :. ,.,
•1t 4 ?• 4t• ?e• _q• 9!r ;n• .n: -P: '1F * '!k * 4!• P: 9k .n..)k •n: 9C •n: -n: •t4 •P: •n: 9!: •i +: 4k 'n: •Jk •n: t.k THANK T t,i E - -! 'j!i *.,i .,i .j,..j,i •P• •P• .7 •h: •jG *.t •A: 'P:' 'ni .!: 'n: ')_::k .h 'Ai 'n: •bi 'hi .j,i .j1..jk A..p :.pr :ni .n.
SPECIAL CONDITION CHECKLIST
Project
Address: Project #
Dept:
Dept.of Bldgs.
Engineer's
Date:
•1
Planning
Condition:
Use
Special Insp. Final Report
Hydrant ( )
Lock Box
Init:
(in)
77.1513A4Y3:1;:i =?.7
Easements'
Road:Pr6naZieroniehtil -7 .74 s'711.
(.)
7:
:S1.- • ; .1(- A rr. ■S(' "A. :.`t
Utilities
Other
:7. V
•.) 51!...,
•
Double Plumbing.- -
ULID
4
:
Appr:
(out)
T Vi
*******************"*"""****** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ************"***"******** *****
Date received for CIO processing: Plans pulled for final processing.
Temporary C/O issued: Certificate of Occupancy issued.
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date'
Plans returned: Received by'
No response from owner/contractor - plans destroyed.