1992, 09-01 Permit: 92007029 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
c•ot SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/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 l 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 pr of any state or local law regyla(ing construction, or as a warrantyof conformance with thelprovp ons of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
Pe'
DATE
Kt,F+1r(.;R= 92007029
2.JrIi 1SSt.YPERMIT
Yt'
if )t is 9PJtA 1.e¢
STREET
ADDRES
DATE- ;.:9/01 -..
****ti#lrnPERMIT INFORMATION )k*************
:15 S L' Y i 's: RD
SPOKANE A 99206
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PERMIT USE- RESiDENCE ADDITION L F'TIO ENCLOSURE FOR FAMILY ROOM
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BUILDING PERMIT ****.t******** *C.6 .'a.:n; v; v}*
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ITEM DESCRIPTION
Rif.SIDE(NT:fr}i. VALUATION
STATE SURCAARGE
RESIDENTIAL SUPCHARGE
TYPE ::{1 VALUATION
V N ._..._ 7.20 29520,00
QUANTITY FEE AMOUNT
T
284,150
,r
51
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i='rl'Yi'iii::(JT I)(1T1.. RECEIPT:RECEIPT:1J, PAYMENT AMOUNT
09/01/92 7232 340.21
TOTAL DUES ,00 TOTAL PAID- 340,21
PERMIT TYPE FEE Ai'iOUi'1I AMOUNT F'AI:I) AMOUNT OWI:Ni.,
BUILDING PERMIT 3•i+:,,i:)1 340.,21 .i)E)
3.40.2i
PROC.), I. ,>Y. JUi..:fc:. SHATIO
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