1990, 10-01 Permit: 90004501 ResidenceSPOKANE COUPITY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 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. f /1
SIGNATURE
OWNER '1
OWNEER OR AGENT
..
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Si
i rat N N E
JA. 1t ..L: At
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APPLICATION
DATE )0- 1- 70
PERMIT
PAGE= 01
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PERMIT USE= RESIDENCE W t:tl~ ?t'S:A.?E
,I JO= 004485 PLAT NAME- EVERGREEN
OWNER- 14 R :.':. v .•:t ,:r ; t t„) i, . ?. A # ::. ,.5 INC
Y #' —ET= #::= 0 BOX 14084
POINT
SFR
4TH ADD
i1 1) E P T 1.1 : :»
PHONE= 50Q 0782
R/ w= rS()
ccit.mm::.-
: FRONT=
'
BUILDING > ? : . : t#: . 10 RIGHT-- _ �-`=r 35
******K************************ ,..: L., ,i. ?....t J ,7. f 3 t,.r , f ,. i t t T 1 *****x.**********************
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r= i!it:;E HA ;;1S:•
iV ?::. ixi = : <., REMODEL= E•3 D)_J . #. ? i. N= CHANGE
USE-
DWELL : ..
UNITE= 7i t.)i...i:. :I. ? # =' # .i:::: i.. ?: ?t:, #'•#i :v��i -: ».• STORIES-
BLDG
i::. !;t PARKING= #' 1 t'? 1 v 1.1 .t. t.; F•� i,•= ::::
t R? _ t A MAT= 9
CODE= .NWEC UTILITY=
DESCRIPTION
BASEMENT
BASEMENT U
GARAGE
RESIDENCE
GROUP
R-3
...
TYPE :Sit FT VALUATION
VN 660 7260.00
_ 59620,00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION 740.50.
STATE —URCHARGE F:9
'..: i.i t.!!'! , f ,.: t.) #• !::• ? " ?( "!1 rtv ? ::. '(
86.48
... .... . .... : -: , • N • ..:: �;: E: , 1 n x' : ++: -n: * * -ii• 1+: -r•: 'n::++: * * :+,: •n :+ +: * i+: r.:Jj..x * '* * •i,:
>;.:� n: •n: •x a +: •1, :.1,..ri..�. _,f..1{..l;• •i� :,, .Jl..Jt..J,r .A .1t..1(. �,:.h:• : i f ;1 , .... t't: ?;'? , . i •,_ .: .
CONTRACTOR - ?i ,:i ',: ASSOCIATES. PHONE- 509 ........
STREET= P O. I:i!••I:. 14094
ADDRESS= SPOKANE WA 99214
. ?. t ?::.1°i is ?::. ,:; t.: t 1. P 3 1: O j'• QUANTITY FEE r• "a ivi c:I U N T
DUCTWORK. K : 't ,s p EM i 10,00
GAE PIPING 1.00
. . ... ,_....ti :[ ****************************4H*
1. •'r.• )t• :d• ie• ii• 1 +: it' h' 4i t ?. ;n. z ?. i• : ?. a ?• )f : ^::: +r : +r f ?' ) +: )r ] ?' 'r•::: i +: a +: 3i' 1_, °1 T i ,i, pii i, v p.: t::. #�. ? 1 #.
CONTRACTOR= t4 R ASSOCIATES
STREET
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
i•i i 1: l..i:: "r... 18,00
. .. ¢ 24.00
SHOWERS i 00
BATH TUBc i '.00
DISH , A > # # :
GARBAGE
CLOTHES WASHER 1
t-i i.•i
ELECTRIC .....t.: 1$A t ER HEATERS
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
Dept:
Dept. of Bldgs.
Engineer's
Date:
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID /CRP
Easements
Road Plans /Improvements
Bonds
Planning 1 Bonds
Utilities
Other
Double. Plumbing
ULID
Init: Appr:
(in) i (out)
* THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Date received for C/O 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: