1991, 07-25 Permit: 91004295 ResidenceSPOKANE COUNTY DEPARTMENT OF RLJILDJNGS
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, 1 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. l understand that the issuancy of is permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the prows' s of any state or locaLlawr gulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER
OWNER OR AGENT DATE
rr_ LCi NUMBER= 91004295 SSUED : iCL1
'iih;�iiii':�i)f �If i'i:ii'ir'hi ii'iiii'ii'di'�iiYi'ir ?i�9i�ii'di,. d4'ar �M�ii��bi F`f::. i'?1"I .I. T� INFORMATION 4+!
PERMIT USE=
BLOCK
AREA=
n, OF .
1 {IOL1D.I.JFI i'!:i)
Iv1E, W:°, 99206
RESIDENCE iu%'GARA E
003 423
00000000 :'A
.1 — .n. DWELLINGS
NA ME
PA
E:C i Fi:i:f:
F'ORF.I:,ST'J•i?'r.:AD0w. ?Ni) ADD
9 ZONE= i. IR' -'..3,t 5 F. S: T':y=
WIDTH= PO DEPTH=
1
WATER
1 rt 11St = LiES
f
PHONE=. 509 747 9224
DATE E.::F 07/2_
5/
.ii'.iiii' 9i* di' * ii' * :n) di'.k..>i..ii.:ie
E .n..... 33543-1709
-OWNER= OD:i_I CONSTRUCTION STREET= 381 .4 U 1.riz.E.F_NItOOD RD ...
— ADDRE'SS= SPOKANE 99204
..' CONTACT NAME= ILD ODE:.LL..
BUILDING SETBACKS: FRONT=
LEFT= 10
fii4nYyii3i.pHh9*,diiiuie1e iincnf iiBUILDING iLL11NG
CONTRACTOR: ODEL?_L'CONSTRUCTION
• STREET= 1 81 4 L.i GREENWOOD RD
ADDRESS= SPOKANE WA ,99204-
-NEW
I. UNITS=
D G W X D -'
NE GY CODE=
DESCRIPTION
BASEMENT F
:li ft S Ei:''1 Ei: L'tT • • IU
DECK. —
GARAGE
RESIDENCE
Ri::MO1)E:1...::::
iOC.C.UF'. L -%i=
40 'SO
HANDI CF11':1P
• UT:I1
GROUP
R.....:;
R.....3 -
I"1--
TYPE
VN
VN
VN
VN
VN
PAGE= 01
PHONE'] NUMBER= 509 _.`(t.I ( y'%:'.ti
-WIGHT ' 10 REAR= (t')
h
1120
!`i1.T ii#i**4'.....di'i'ib'i Pokifi':)':ii)i.iii':*:...i..ii'i4?f.kd'i
PHONE=
¶�9';,4j.
924 ..
:BLDG HGT=
SPRINKLER= N
CRITICAL MAT==
]:TEN DE:SCR:1:l-`.1.1.f.JW
RESIDENTIAL VALUATION -
STATE
TATE SURCi TARGE
COUNTY SURCHARGE__
c;E
*-)e*....* - NL
flf3l'Yf:�'li)f')ftf'P'dl'�f :E'Yr df j@$h9t'It'Pr :n: 9r'1f Frf... i.?in;:t .i. rvc,
(: 0 • Y -R ..,....,-., GOLD
•
STREET= ».,
ADD1 PO
i.,..1•s
.
I- (::I -j rig N.I („'.!y l._
'i;tfil;)r'IF.: AVE.
99212
ITEM DESCRIPTION
TOILETS
SINKS
SHOWERS
BATH- ILiE:t '
KITCHEN SINKS
DISH WASHERS
CLOTHES WASHER
EcI...I:I:.f..L{.Et'. WATER
FL.00R 'DRAINS
HEATERS
t)r')l'if*itit A'*9e'It'It Yf it it'it**i4'**Sdr'Ir
I'r1'rMEiNT DTE
07/25/9i
TOTAL DUE=
PERMIT TYPE
BUILDING . F' E R:\iIT
PLUMBING 1'1' MI I
QUANTITY
I:TY
--------
Y
PERMIT
1' j`? [:: •
CHANGE OF ft.
STORIES=
.1
VALUATION
.7123..00
. 41.48. i:0
1:,60.00
2940.00
9290,0)
FELT AMOUNT
482 .00
4
'ifdi'**3i :d:ifa:if'PHONE= 509 53!E.
r
f?I,ir=twTITY FEE AMOUNT
12.00
12,00
+..00
6,00
;'ii')
1 00
1 0
j
6.00
..
A'it'df No -.1 i•I L- i�., I SUMMARY **')E* jt
.00 TOTAL. PAID=
r '1OU V.Y. AMOUNT
PROCESSED .BY: ,.JULIET-
PRINTED BY: WE::NDEL.GLORIA
H(:1 TTC
563
629,62
8i' fi;';j 9t L: di..)I iii ii' k” A''ii' .K .. *'ii'.y fi to f' ;i..******** -
THA
d::lf * * f:*** -K if le It*
PA 1 4 r: N T AMOUNT
629:.... _-. ..
629.62
AID • AMOUNT OWING
62 .00
629.62
YOU .)')''if u.:n: a:4e-)e di'ii'di y,iii
--*X:*** 4 ..'tt ..$ ::..i(. s'..j,j
V
)i.