1991, 08-05 Permit: 91004733 Fire RestorationSPOKANE 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 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 NUMBER= 91004733 ISSUED PERMIT
DATE=:: 08/05/91 PAGE= 01
3i•3i3i*3i3i3i'3i**3i•3i****3i•**3i•**'3i•*k*** PERMIT INFORMATION ***•*at*3t3t***3i3t3f***3t*3i•*R '*x3t3t
SITE STREET=
ADDRESS==
PERMIT USE-:
PLATO=
BLOCK=
AREA=
OF BL..DC;S=
OWNER=
A RF:T=
11709 E FAIRVIEW AVE PARCEL.;E=: 09541-0473
SPOKANE. WA 99206
FIRE.:: RESTORATION • SIDING & FLOOR JOISTS
001641 PLAT NAME= MIRAEEAU RANCH ADD
4 LOT= 18 ZONE= AC;StJIt D:I:STm:= F
00000000 F/= F WIDTH= DEPTH=
1 0 DWELLINGS= i WATER DIST =
PHONE==
WALLBERG
51709 C.A]:RVIE::W AVE
SPOKANE WA 99206
R/W= 50
CONTACT NAME= RANDY .-. NOR—WEST PHONE NUMBER= 509 484 4090
BUILDING SETBACKS: : FRONT= NA LEFT= r NA RIGHTS NA REAR= NA
3i 3i• * 3i 3¢ 3E 3E K• * 3[ 3i it 3k 3i 3e 3i i6 it * 3e 3i 3k 3G 3i 3c 3E 3@ 31 * * 3Y B 1 j I I_. D I N G; PERMIT * * # 3i• * ai 3r •k• 3i 3r * * * 3i * '>t • * 3i• 3i 3i 3i' 3i * 3F 3r 3k 3r
CONTRACTOR==
STREET=
ADDRESS==
NEW=
DWELL UNITS==
BLDG W X I? =
REQ PARKING=
NOR—WEST CONSTRUCTION
BOX 11873
SPOKANE WA 99211
1
REMODEL= X
OCCUP . L..Dµ:
X SQ FT=
N HAND:rcAP==
DESCRIPTION CROUP
RE"MODEL. R•-•:3
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
TYPE
VN
SQ FT
PHONE= 509 484 4090
ADDITION=
BLDG HG T=
SPRINKLER= N
CRITICAL MAT= N
CHANGE OF USE=
STORIES=
VALUATION
---------
2200.00
QUANTITY FEE AMOUNT
Y
Y
54.00
4.50
8.64
3i**#*** 3i;i*3i3t*3i'**3k3{•****3i******3i PAYMENT SUMMARY 3i3: Yi**3i'ii3i3i3i•k*#******3i'*3i •*3i'**3i
PAYMENT DATE.
08/0>/91
TOTAL DUE=
RECE:rPT'4
5320
.00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT
BUILDING; PERMIT 67.14
67.14
PROCESSEDBY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
AMOUNT PAID
67.14
67.14
PAYMENT AMOUNT
67.14
67.14
AMOUNT OWING;
.00
-------------
00
*li*3i3i3i3i3i*3i3i3i•3i•3E3tit* 3i•****3w:3i**3i***3t THANK YOU *3{*3i'3i3i*3i•ii3i*3k*** ****3{3h*3i3i3i•*3i***h*