1990, 09-28 Permit: 90004991 Remodel, Plumbing FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 130 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 o1lhis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the ..vis}bfis of any state or local law reg ' g con ruction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF 4Il ? / APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90004991
DATE== 09/;.F3/90 PAGE= 01
ISSUED F'ri=1"'IT
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SITE STREET== iii 05' E BOONE AVE PARCEL0= -165.42--2101
ADDRESS= SPOKANE. WA 99:206
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PERMIT USE= INTERIOR REMODEL • CHANGE: OUT PLUMBING FIXTURES
PLATO= 004159 PLAT NAME= ROBIN ON ADD
BLOCK= .i LOT=: i :ZONE= AGS'U:t{ DISI"._ F
AREA= 000000 00 • F/A:= F WIDTH=- DEPTH= R/W= 50
:". ClF }:L.DC;S= i - 0 DWEL..1..:i:NC;S::::•
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OWNER= PETERSON, NORMAN. PHONE= 509 922 1792
STREET= 11205 E BOONE AVE::
ADDRESS= SPOKANE WA 99206 .
CONTACT.NAME= NORMAN PETERSON PHONE N!UMBER=-507 922 1796 .
BUILDING SETBACKS:. FRONT== EX'S LEFT= EXIS RIGHT:::: EXIS REAR= EXIS
il' *.*. * *. *. 3..3..*.*..*..*..3 3:*.*.3..*..*. *..R.3..}i..yt.3l. * * ii..h..*..yi.
It LJ I.I_.IiI.NG PERMIT A#****fi:u.h..k.yi.h.k..lt..ri.:ri.ri..ttiiiiiiait#ii h: it 3i
CONTRACTOR= OWNER -PHONE=
NEW= REMODEL= X ADDITION=: . ,CHANGE OF USE=:
DWEL..1 UNITS=:: OCCUP, LD:::: BLDG Ht:;1':::: STORIES=
BLDG W X D= X SQ FT-. SPRINKLER= N
REP' PARKING=- -. ,:HANDICAP • CRITICAL_ MAT= N
P+ESCRIPTION GROUP. . :1fri .._ .SO FT VALUATION.
RE:MCIDFEL.
R' VN -
J0000::00
ITEM DESCRIPTION • QUANTITY . FEE AMOUNT '
hlii:SIDI::NTIAl... VAI A1':I:ON _ 109.00
STATE SURCHARGE 4,50
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CONTRACTOR=. OWNER - . ,,CiNI$== :
ITEM DESCRIPTION - OnANTITY FEE AMOUNT
TOILETS -
SINKS
BATH TUBS
KITCHEN SINKS
DISHWASHERS_
GARBAGE DISPOSAL.CLOTHES
CLOTHES WASHER
18.00
2,00
7, r ij
6,00
t)0
6.00
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PAYMENT DATE:: MENT AMOUNT
09/28/90 _.;i}` 9 259,50
TOTAL.. :DUE= . , . ;,00 TOTAL.. PAID= - 259,.:•5c)
PAYMENT SU
RECEIPT:
P•1
RY de
PERMIT TYPE: _FEE::' AMOUNTI .•:. AMOUNT PAID
BUILDING PERMIT T i93, 193' 0
PLUMBING PERMIT 66,E?/
PROCEI;i?Eli BY. JOHN I._AR':i1N
PRINTED BY: JOHN L_ARS'ON
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AMOUNT OWING
259.50 -
.*.:;i..**: THANK YOU.i de
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