1987, 10-02 Permit: 87003061 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 provis' ns of any state or local Daws regulatin nstructio '
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 87003061
APPLICATION
DATE
/e/QP/F7
DATE— 10/02/87 PAGE: 01
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- :. t F... ,.; 3 I"-. i::. t... i .... 11810 '... FAIRVIEW i•=1 'd F::. PARCFLO= 09541-0625
ADDRESS= SPOKANE WA 9920
PERMIT USE= 'i •• ..; .i. 5.}t...t?I,_,i.• ADDITIONS —.FAMILY ROOM ... GARAGEtt
: T .n = 001641 P., NAME= T :•. . t , RANCH AY.
1:?i..,t.)i.:F'::..•' 6 LOT= .... ! ::..i..)!"YS....... 1••4f..Y,:iUI.ti S.: .1.::. ! .n.....
AREA= 00013000 F/;.:— WIDTH- is : y F::. r •(• 1. 0 F ..` {:J _.. 50
0 OF BLDGS= € 4 DWELLINGS= 'i
OWNER:::: T:'fik2'H ! THOMAS A
ADDRESS= : I'OK :t;`:i::. WA 1 _. 7:! 6
PHONE=
1t....... 50'::: 924 r:,27
CONTACT P (;THOMAS . f1i:PHONE NUMBER= 509-924-8276
BUILDING SETBACKS: .t.,,.! -;N...... 30 LEFT=
.t:-•'... I.•,.i....l:... ii REAR=
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CONTRACTOR= OWNER PHONE=
NEW= REmJDEL= ADDITION= .:, CHANGE L.i ,: 1... "..
REQ PARKING= 4:HANDICAP= SEWER= N HYDRANT= N
DESCRIPTION GROUP _E.YPI::. s1,1 FT VALUATION
GARAGE M...i FN 240 1440,00
REE ADD R-3 VN 240 6480.00
ITEM DESCRIPTION
RESIDENTIAL
VALUATION
STATE SURCHARGE
QUANTITY
.........................
1 -LE r•i i ! ...
........................................
r9!9
,00
3.50
:+k 3k •!!: '}t'1P '}+: -i+: )!; •}C.:u: i!: 9!.' .i!r at: ..............................................N I '+ :.:
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PAYMENT DATE
10/02/87
TOTAL
PERMIT TYPE
.....................................BUILDING PERMIT
......................
khcEiPTO
4037
FEE AMOUNT
............................................
102,50
............................................
102,50
END ..
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PAYMENT
AMOUNT
102,50
................................................
102,50
AMOUNT OWING
------.---
,00
................................
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