1992, 04-06 Permit: 92002208 ResidenceSPOKANE COUNTY ��EPART��E�WT��F B�U�K�U�����
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W. 1303 BR0� NUE
SPOKANE, WASHINGTON 99260
(5M9)456-3675
I certify that I have exam inedth is permit/applicati on, state that the info rmati on contained in it and submitted by me or my agent to compi I a said permit/appli catn is true
and correct, and authorize uvokmnoCounty to proceed with processing. In addition,/ have o and understandm /wopscTmwnsuumsMswrmwor/os
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/applicati n and an�Lsubsequent inspection approvals or Certificates of Occupancy shall not be construed to
10
give authority to violate or canoelie provisions ny state r c;I 11, ng construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construc 7
SIGNATURE OF APPLICATION
OWNER OR AGENT,2 e�01- - - DATE
PROJECT NUMBER= 92OO22O8 I%%UED PERMIT DATE= O4/O6/92 PA�E= Oi
**************************** PERMIr INFORMATION ****************************
-
... ITE %TREET= 33i7 N ELLA RD PARCEL�= O6543-4iO3
ANE WA 992i2
PERMIT U%E= FIRE RE%TORATION / RE%IDENCE
PLATX .= OOi865 PLAT NAME= ORCHA D VE�UE ADD T —228>
BLOCK= LOT= ZONE= �R-3.5 DI%T�= E
AREA= F/A= WIDTH= DEPTH= R/W=
DWELLIN�%= i WATER
OWNER= MARTIN, TRACY PHONE=
%TREET= 33i7 N ELLA RD
ADDRE%%= %POKANE WA 992i2
CONTACT NAME= RANDY / NORWE%T CON%TRUCTION PHONE NUMBER= 569 484 4O9O
BUILDIN� %ETBACK%� FRONT= NA LEFT= NA RI�HT= NA REAR= NA
******************************* BUILDIN3 PERMIT ****************************
CONTRACTOR= NOR—WE%T CON%TRUCTION PHONE= 5O9 484 4O9O
%TREET= BOX ii873
ADDRE%%= %POKANE WA 992ii
NEW= REMODE = X D TIO = CHAN�E OF U%E=
DWELL UNIT%= 1 OCCUP
B�D = X %Q FT= %PRINKLER= N
REQ PARKIN�= �HANDICAP= CRITICAL MAT= N
DE%CRIPTION �ROUP TYPE %Q FT VALUATION
----------- ----- .... —.... .... ----- ---------
REMODEL R-3 VN 35OO.00
ITEM DE%CRIPTIOIN,
EN I UATION
%TATE %URCHAR�E
COUNTY %URCHAR�E
QUANTITY FEE AMOUNT
-------- .... .... .... .... .... .... .... .... .... ....
63.
Y 4.5O
Y ii.34
******************************* PAYMENT %UMMARY ****************************
PAYMENT
DATE
RECEIPT�
PAYME�T
AMOUNT
04/O6/92
2382
78.84
TOTAL
DUE=
TOTAL
PAID=
------------
78.84
.00
PERMIT
TYPE
FEE AMOUNT AMOUNT
PAID
AMOUNT
OWIN�
---------------
BUILDIN�
PERMIT
.... .... .... .... .... .... .... .... .... .... ....
78.84
.... .... ------------
....
78.84
... .... .... .... .... ... ....
.... .... .... .... ....
.00
--.... .... .... .... .... .... .... --
78.84
.... .... ------------
....
78.84
.... .... .... .... .... .... ....
.... .... .... .... —
.��
PROCE%%ED
BY� JOHN
LAR%ON
PRINTED
BY JG�i
LAR%ON
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THANK YOU
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