1991, 04-05 Permit: 91001606 AdditionSPOKANE COUNTY DEPAIfiTMENT 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 theprovisions 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. <x
OSIGNATUREG yJ DATLICATION
OWNER OR AGENT Qti DATE
=' _ .jECT NUMBER= 91001606 ISSUED PERMIT DATE= D4/05/9i ,:r
k***h•af,*#•f*x#*•ititai•it•aiat•ii•?i•***a; PERMIT INFORMATION **itaEit-***K•ifii•i4•k••iaat•*ai•'fi-ii•*it*D*>;^ac)
SITE STREET= 2100 N BARKER RD ('A C:FL - 0S993-9050
ADDF:.US= GREENACRES WA 99016
PERMIT USE., RESIDENCE ADDITION --• RE% RCjoM ; ;' F`I...i T
PLAT:-: 999999 PLAT NAME- F t O.GE
BLOCK- LOT- ZONE= UR -•3,9 i.'1 -
A EA= O0O0.00(iDWELLINGS-
�•�r�• F'WIDTH= ; (-)0 DEPTH- 175 R ;j:::: 60
OF BLDGS= i 1 DWE[.... I NCS- i WATER R I; I ET CONSOLIDATED T i•, RG 41
AREA
OWNER:-; MILLER, MARY VIRGINIA PHONE=
STREET.- 2108 N .BARKER RD
r1DDRE,.sS=- GREENACRES , WA 99016
CONTACT NAMIT GORDON SARB .r° PHONE N4J,�Ifl R- ' 09 92S '3270
BUILDING SETBACK.,' FRONT -A LEFT- 740 RIGHT- 50 REAR= fi;;;
**************.*******3********** s•.t U T: L D I N G PERMIT >r * * * * * ai • * at at . * a •;k •if ii a>: ii * ;tat .;r ;d :..u..X 3.
CONTRACTOR- SARBER CONSTRUCTION INC:
STREET= -15702 E WEL..t...Eaii.•.EY AVE
ADDRESS- SPOKANE WA 99216
PHONE,:. '')17'tr 928 327'.:,
NEW= REMODEL= ADDITION=X rHAN E- OF II,TF_
DWELL UNITS= i OCCUF`„ LD= BLDG >:(rT=- . Tc,R i-__-
BLDG W X D= 6 X i 2 SQ r T= 72 SPRINKLER= N
REQ` PARKING-. :bi.irtNDTCAF'= CRITICAL MAT= iJ
DESCRIPTION GF:OUP TYF`E Eq FT VALUATION
PT!C ADD R-.3 t N 72FFE
73lir't. ,t0
ITEM DESCRIPTION (UANeTy`. F"i`( ArFOlUN1
RESIDENTIAL VALUATION Y. 54,00
STATE SURCHARGE Y 4,90
COUNTY SURCHARGE Y C; , 4
***itX***i>aiu•k.ieXiex;i•ii•***:*M*ai•at*rhitit PAYMENT SUMMARY **x-at***#***a(• •a{•****X.k*a,:*.:�i�a;a
PAYMEN i „ DATE FEF:r:ETF'T4: F'r YMV JT A%if•ai;A;•T
04/05/91 1826 cl 14
TOTAL.. DUE:, .()0 TOTAL PAID- 7,. 14
F'ERm s T TYPE FEE AMOUNT AMOUNT PAID I R Ar4fnoT (:tlA. NC.
BUILDING PERMIT 67.14 67.14 .00
67.14 67.14
PROCESSED BY: JULIE SHATT°
PRINTED itY : JULIE SHA TTO
y..:*************************** THANK z (l E _! ***********************4*
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use.
Dept:
Dept. of Bldgs.
Engineer's
Planning_
Date:
Utilities
Other
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init.
(in)
Appr:
(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: