1992, 05-05 Permit: 92003110 Finish BasementE "1
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOT"ANE, 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 state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF _ pa
OWNER OR AGENT APPLICATION DATE S / / / a'
PROJECT NUMBER= 92003110
ISSUED PERMIT DATE= 05/05/92
PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 2620 S BOLIVAR RD PARCEL= 26543-0931
ADDRESS= VERADALE WA 99037
PERMIT USE= FINISH BASEMENT
PLATO= 004404
BLOCK= 9
AREA=
OF BLDG'S=
OWNER=
STREET=
ADDRESS=
PLAT NAME= EVERGREEN POINT 3RD ADD
LOT= 5 ZONE= UR -3.5 DIST4=
F/A= F WIDTH= 80 DEPTH= 129 R/W= 50
DWELLINGS= 1 WATER DIST =
DAIGRE, LANCE A & BETH ANNE PHONE= 509 921
2620 S BOLIVAR RD
VERADALE WA 99037
958i
CONTACT NAME= BETH ANN DAIGRE PHONE NUMBER= 509 92i 9581
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT ****************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL= X
OCCUP. LD=
X SQ FT=
;HANDICAP=
DESCRIPTION GROUP TYPE
REMODEL R-3 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE. SURCHARGE
COUNTY SURCHARGE
PHONE=
ADDITION=
BLDG HGT=
SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
5000.00
QUANTITY FEE AMOUNT
CHANGE OF USE=
STORIES=
Y
Y
Y
72.00
4.50
12.96
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER
ITEM DESCRIPTION
TOILETS
SINKS
SHOWERS
*******************************
PAYMENT DATE
05/05/92
TOTAL DUE=
PERMIT TYPE FEE AMOUNT
PHONE=
QUANTITY FEE AMOUNT
i 6.00
i 6.00
i 6.00
PAYMENT SUMMARY ****************************
RECEIPT*
3330
.00 TOTAL PAID=
AMOUNT PAII)
BUILDING
PLUMBING
PERMIT
PERMIT
89.46
18.00
107.46
PAYMENT AMOUNT
107.46
�M T.�i 07.46
AMOUNT OWING
89.46 .00
18.00 .00
107.46 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
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