1992, 02-21 Permit: 92000418 Revised FeesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 twderstand 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92000418
Rt...h ]. 1F:.:O FEES DATE= E:=: 02/21. ::. PAGE= 01
ii ii• 3'• 3r.• 3E u• .• ii .• 3E .• 3i it• 3k ii ..• 3i• it 3i 3k 3;• .• .• * .' 3k "'' — R M • • , : •w • o . ...... ......... .... ....... .
!•• F:. ft t"1 .E � .t I� F" i.! i� t"1 fel ! .F. 4.) rt .• 3� 3a .• �i 3r u- ar ar x• k �r x- x it• 3r �• 4r � ar x• n• tr .• 3'• 3r 3i• 3r
SITE E S-iF E::E::t':::: 37-19 iN ELY RD'
ADDRESS- SpOKANE WA 99212
PERMIT USE=
PLATO=
.r.. ••
OF
_OWNER=
'F• t::Ei=
ADDRESS=
RESIDENCE w/t.7AF'•.A1.71::. GAS
005126 .: i... r•i i NAME=
rat"! -. ��-
Lof=
0001 0633 F/A=
1 =u' DWELLINGS=
PARCELO= 06543.:.2501
t••
WIDTH= 79
1
WATER DIST
MER—VAN ASSOCIATES INC
4127 S CONIFER CT
SPOKANE N't WA 99206
CONTACT NAME:::::: WALLY VANCE
E::
BUILDING Si:::'T•EiA(::i<S:i FRONT= :3E1 LEFT= •S::'.
*****************************K* ft i, i .(. L...tJ .1. t`N G
- NEW
DWELL UNITE=
REQ PARKING=
i"i E l VAN
12922'. E:
SPOKAN1.
;•s
- IA'T•E > INC:
lyvE
,2 I t
:•4 rt t i i ::.
i OCCUP. I...a..j::::
:1:`.4ANT).L t.: Ai' :::.
DESCRIPTION
BASEMENT F
BASEMENT u
DECK
GARAGE.
RESIDENCE
M-1
ITEM DESCRIPTION
------------
RE::S.EC)ENT.EAL VALUATION
STATE St lF•C1••ir°7RG
L i. U i t
RE—INSPECT •FL1
•it• 3i• * 3?• 3i• * 1 3'•.- 3i .• .) 3i * 3 •i{• •ii• 3i• 3h 3f .) .• ii 3F » * 3.3i .) 3i•.•
E t •ir —•
DEPTH= t•1 ::= ! :,i3 '... t•'/W= 34
.... ORCHARD AVENUE
PHONE= 509 928 1357
PHONE NUMBER= :{Ei•;:::: 50,, 928 s 135 r
RIGHT= 7 REAR= 63
pERmIT ******************,k*********
PHONE=509 924 509502
ADDITION= CHANGE OF t.l,`>E:::::
BLDG ti!.7'T-:::: 12 STORIES=
''i'i ' SPRINKLER= i
CRITICAL MAT= 'J
VALUATION
ViJ 250 3750.00
VN 8250.00
VN 0, 300.00
VN 484 3872.00
VN 1002 54108,00
FEE AMOUNT
TYPE EQ FT
QUANTITY
•150,00
509.00
4.50
Y
MECHANICAL FER•1"**********K***.' . 3 • ('943A
CONTRACTOR= SMITH & AIR C:oi4D
STREET- 1- .1C':: E iii+OF°A AVE
ADDRESS= ,S('(1Kf?!•N1::. WA 9924'`I
ITEM DESCRIPTION
-----------
GAS WiATER HEATER
t_7 A ,.i H T I.:r 1::1a U .l. F' °, •1 '•) ; t) 4:i 0 > i- t J
GAS PIPING
QUANTITY
3 3: h: 3i•.• 3i 3i .•.• 3i 3e. 3'• ri Y:.• 3i• 3i 3E.•.• 3e : 3'•.• 3t * * * l I._ t J 1"1 ji :F. iw tx P E R C1 ..
CONTRACTOR= UNKNOWN
E T F 1:::E T•== UNKNOWN.
ADDRESS= UNKNOWN WA UNKNOWN
ITEM ►)'r.- E (:: ii :i i- • T' :.i: O N
TOILETS
EINKE
BATH H t,iB;j
KITCHEN ' ]. N 1<: t'
DISH WASHERS
CLOTHES WASHER
i
PHONE= 509 328 4431
FEE E — AMOUNT
.
10.00
12.00
..
"•iti
***36.•3E3i*. 3E3•.•*3i•3i*3i•**
QUANTITY
•1
PHONE=
FEE AMOUNT
12.00
12.00
12.00
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT (.!UMBER::: 92000418
REVISED
SD DATE= G
_
•p. 3':... * * * •N: •)h •){ •P: •Y:• il• P: •K h: 3':3 • N• ik •)i 3' ) P• )F 3t• 3i• ii• $: •)k » p (� t (1"E 1::. N T ,^ 7 i i la y •t` ' 3'. 4 •) •k• •X •)i •) . •u: •u: •)k •>•: •h: •ti N:. •r• 3�; 3*) i+': ' : * ii• 3 •':. •u• .p 9':
_:: !"1 1 h
PAYMENT MENlT DATE F:::CES :1:F '.-�i
1 :, PAYMENT AMOUNT
}
02/21/92 1101 50.00
02/03/92 663 - 683.12
TOTAL DUE:: .00 TOTAL PASt= 733.12
.:1
PERMIT T'Y'PE: FEE AMOUNT AMOUNT PAID AMOUNT c:iLj:i:NCG
BUILDING PERMIT 655.1224.00
655.12' t_)
. 0
MECHANICAL Y•'RM 1 's.'.4 :. U) :'d4:.0J .00
PLUMBING PERMIT
54.00 54.00 .00
!, 733.12 ..00
PROCESSED BY: JULIE SHATTO
F `RisE TE:: S:S iJ : FC}RF4Y, JEFF
- 3t •P: 'H• * 'hi iC $: •h:• M:• •k• il• P: P: 7k N: * •1!' * 14 * )( 'll• 9i •){ 11• •h:• * •A: •b: * 'A: P: THANK Y t•, {. E 3'.......3 P: ')l Yl k.'u• •1{' * 1k T: '1t 'h 'P: b: * 'A: •1: 't:: 'P: •AI •P: * * 1{• )L• N: 7l• *
VENDOR
CODE
REFUND
NAME Moir Asenriatci4 jirtr
SPOKANE COUNTY PAYMENT VOUCHER
ADDRESS 129222 East Se nro Avenue
Spokane, WA 99216
JI
?Gi ti rli)6
11
•
NUMBER
131904
DATE
AGENCY
NAME
AUDITORS STAMP
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that
I am authorized to authenticate and certify to said claim.
SIGNED
TITLE
DATE
SIGNED
TITLE Office Administrator
•
DATE
5/29/92
CHAIRMAN
MEMBER
MEMBER
- ACCOUNT DISTRIBUTION, ORIGINATING ENTITY'(ALL VOUCHER TYPES)
- ■
1099 REQ'D ID#
LINE
• NO.
VENDOR•
INVOICE`NUMBER. w,.
-FUND
,.. . ...
:AGENCY
.. ... ,., .:I
ORGAN-;
_
ATf N°
Z 0,:.°
ACT:.:-
;._,
_, OBJ:
SUB:
., ,,
OBJ,
REV
SOURCE
SUB'.
„_.
REV
JOB''
NUMBER
REPT
ATDESCRIPTION
CATEG EG
ACCT
sem a
AMOUNT >y
s +
1
92-000418
406
030
0008
2210
02
5l -nn
DETAIL
DESCRIPTION
1 1002 Refund of Permit #92000418 Re -inspect fee for 3719 North Ely Road
I, the undersigned do hereby
certify under penalty of perjury
TOTAL
50.00
-inspect fee inappropriate
that funds have been
re per copy of permit attached
sufficient
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered orlabor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
Spokane County or fund agency
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury
that'. this is a true and correct claim: for
necessary expenses incurred by me and
that no payment has been received by me
on account thereof.
SIGNED
indicated above, that I am autho-
rized to authenticate and certify
TITLE
INTRA -GOVERNMENTAL VOUCHER
to said claim,
DATE
FUND
....,
ORGAN-;
AGENC RATION
,
SUB
tORG
SELLERS
ACTIVITY
ACCOUNT
REVENUE,,
SOURCE
SU8
REV -
SRC
DISTRIBUTION
JOB NUMBER
RPT`
CATEG
OFFSET°
RECEIVABLES -
ACCOUNT -
V
EXAMINED and ALLOWED
CERTIFFC TION
DATE 19
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that
I am authorized to authenticate and certify to said claim.
SIGNED
TITLE
DATE
SIGNED
TITLE Office Administrator
•
DATE
5/29/92
CHAIRMAN
MEMBER
MEMBER
REINSPECTION FEES REQUIRED
Address:
Division of Buildings
Spokane County Public Works Deparlmgpt_
West 1303 Broadway ;�i -{�71-1952
Spokane, Washington
31/1
Project No.:
A reinspection fee is required prior to any additional inspections on the
Do not proceed until the fee has been paid at our office, a reinspection made and approval granted.
06f, T.e4e)to
Please contact our office at 456-3675 for further information.
Date:
for this project.
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