1991, 04-26 Permit: 91002114 ResideSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W:'1303 -BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
• F(509) 456-3675
1 certify that 1 have examined this permi Vapplication, 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. 1 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 o1 any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
P,. O ... NUMBER=
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ADDRESS— SP OK ANE
ISSUED P ., M.r- 'J),:"(':' 04/2/3/91: I'f'lLvtL::.: O'1
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RD
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PARCEL4= 1 0.2 `7
PEI* IT USE RE --SIDES: RFS' :CDENC::E::
PL_AT'JI•=. 001 903 PLAT NAME- PE.PL..INSK I . AD_I)
BLOCK= iLia T= iii ZONE:.-- ACr,\L,ri DIE
AREA= 1 f':: 1- WIDTH= 7-t DEP
'0 OF BLDGS:- i g: DWELLINGS= I WATER DIST :_:
OWNER= WELCH
• STRE ET:= i.`:>C?7 N f
ADDRESS= S:r:'OKANE: t.J
CONTACT NAi-tli::= IDClr! MC 'VAY BROTHERS:—
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RESIDENTIAL... VALUATION
STATE SURCHARGE _. .._.
COUNTY SURCHARGE
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P'AY'MENT DATE" .
0-4/26/91.:
• TOTAL DUL
.MITYPEl: E • F111:1111.
B D:11(1; PERMIT
PROCESSED BBY: JUL :111 :SI* TO
'. PRINTED El-' : _LUL:. 1:1:: S -IAT T Ci
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• 7
• PHONE= 509•920
-. PHONE NUMB
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RUST
P I-1 C? N li:::=
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1::' USE=
QUANTITY -
Y
r- :ji..11"SMARY
TOTAL. PA ID=
O1LiNT Pc -:"41D
.......1i 9..34
ii9.34
7300 iyt ,
'ENT- AMOUNT