1991, 03-01 Permit: 91000606 Residence SPOKANE 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 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 stale orlocal law regulating construction,ores a warranty of conformance with the rovisions of any state or local
laws regulating construction.
. SIGNATURE OF 4..
.� ICATION7- <77,---"" DATE -
PROJECT NUMBER= . ft0a „1_ 6 . . ISSUED PERMIT DATE= 03/01 /9i
PAGE= 01
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ADDR ,ii. tiP I<APlfii: MA 92 6 . -
PLATO= 003535 - PLAT NAME= SWAN -ACRES 2ND ADD •
- i AREA= • p'/A= F {:. 1.t, i L. "= 100 DEPTH=I-I'_: 1 ..,-_ 4:L/W= rata
11.
OF liti..!)(:, == DWELLINGS= WATER DIST ....
OWN:R= RIGG .N RAY PHONE= 509 924 1823
• STREET= -4021 L1 !:.O iD'._1'}LI?\tt RD - - .
AT)DF;l:::`;S: SPOKANE WA '? ':-_)16 .
t I:'1.7 .T( i NAME=
PAY 1C.Gl:NI':.t _i41 NUMBER= 509 92' 1923
BUILDING SETBACKS :BAC I FRONT= L_L.I ;_, RIGHT= ... REAR= 61 .
s: . , . a:ai 3..a a)(9 t.3i ;. 31,ae 3eaea3e a a B1.1 I L I NG 1:1E;.;P M.I.T ****4******33*36 a 3 9636 a a.*aai.:n)*a a a
i... IN;.. _, . ..,.._.._. _ -_ .
•
DWELLirt.i. i a=' i OCCUR. Li.?-.
' ., ' ;�(3 I- - 1326 SPRINKLER= tJ
REPPARKING= I: :,,:.: , .::.
I",!..,:, - :i::}..,.ii l�!J.I.(:Pa r':::: . .. - CRITICAL MAT= I
DESCRIPTION GROUP 1(.!F' I i p'!- SO f. I . . I„AL_E A ION
• • RESIDENCE Irr-.y ;,..; 344 ,04:) . •
ITEM EM .(.)CRL1- l .i I N QUANT I ,:,. FEE• AMOUNT
•
3
_ : : . . . �fC^ fL� JE_=' ^ ) _t - I11N 477 ,50
COUNTY SURCHARGE . `i' "rb., .gti;
MECHANICAL' r
•
X. . .aia*a :a i****anaa*aaaaia . Pi
..r? fdin} ; e r ai—ie :ir e E dae .iip;
CONTRACTOR= ANDERSON ' S SHEET META' - :r ` r , _ ;,, 92O 0960
- . STREET= 13903 E TRENT AVE •
ADDRESS= SI'C73<AN : WA 99216 - .
•
ITEM DESCRIPTION b'.I P4NTI ( i FEE AMOUNT
GAS WATER HEATER I' 10. 00
.
GAS I-L'i:I't C' ; , . ('It al,3i TEi - l - i2 . 06
• . GAS 1' .I.I" _.i.'I.I. _ _ ._M1 n 41 .
GA' LOG 1 10, :00
. ::n.:,: or c:.c:•i; a.a3O(-r. ..tn.:&.:, :;n I.1NB1 NG PERMIT
a aaa a a*a ar iaa s a a a-**.a e e-a a a.a h ari ii
CONTRACTOR= OWNER RHONE=
I 1 :::.r, DESl,Y•:'.;:�::T ION _ ,,'�_)(..,+J"f 7:"f . I" hi Ml-i l_Ij`J1
TOILETS ET: :> 12,00
;..,
KITCHEN SINKS ' .j ... - -t, @,(i
CLOTHES'`OTlil:j:S C:i;:1;C:I liiiR 1 •'i )r)
Eft:!.L...T. T r SINKS - 6, 06
•
•
•
•
SPECIAL CONDITION CHECKLIST
Project . . , . •
-
•
Address: Project# - Use:
Dept: Date: Condition: Init: Appr:
(in) ' (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
•
Engineer's _ RID/CRP
Easements
Road Plans/Improvements
Bonds •
Planning - _ _ Bonds •
Utilities _ _ Double Plumbing
ULID
Other
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: