1987, 10-22 Permit: 97003255 ResidenceSPOKANE 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 wi Ithe provisions of any state or local laws regulating construction
SIGNATURE OF / V 4GI , .(1 // DATEICATION �71 �2- t2
OWNER OR AGENT fit$ (J d
PROJECT NUMBER= 87003255
ae*** PERMIT INFORMATION
SITE STREET= 10804 E GERTRUDE:: DR
ADDRESS= SPOKANE WA 99206
.PERMIT USE= RESIDENCE
DIME:DiIpa07 PAGE= Or
t
.1f**.-********** f*if*****.***)f**
PARCE:I...m== 04442-2503 '
PLATO= 003662 PLAT NAME= VALLEY VISTA ESTATES
BLOCK= 2 LOT= :3 ZONE= SFR DISTO= D
AREA= 00000000 F/A= F WIDTH== 1491 DEPTH= 170 R/W=::
0 OF BLDGS= 1 0 DWELLINGS= 1
OWNER= CUI...I...E:RTSON, DICK
STREET= 10804 E GERTRUDEC DR
ADDRESS=. SPOKANE WA 99206
PHONE= 000 927 8082
CONTACT NAME= MIKE:: GILBERT PHONE:: NUMBER= 509 927 8082
BUILDING SETBACKS FRONT= 60 LEFT= 20 RIGHT. 45 REAR== 50
*at .M.***#*************** tac**** u* BUILDING PERMIT***.k*.******#.*tt**.**.%**.****..*.h..tt.
CONTRACTOR= GILBERT CONST SERVICES INC PHONE= 50 927 8082
STREET= P 0 BOX' 141624
ADDRESS= .SPOKANE WA 99214
NEW= X, REMODEL=` ADDITION= CHANGE USE=
DWIE:LI... UNITS= 1 OCCLJP,. I...D:::: BLDG HG1-::::, STORIES= '"r
BLDG W X D = X SQ FT= 1129
REQ PARKING= OHANDICAP= SEWER'N HYDRANT:::: N
DESCRIPTION GROUT' ,TYPE -SQ FT VALUATION
BASEMENT U R--3 VN 112.9 7903.00
GARAGE M-1 VN 576 3456.00
RESIDENCE R--3 VN 1129 40644.00
2ND FLOOR R-3 ' VN 815 14670.00
ITEM DESCRIPTION. QUANTITY. FEE AMOUNT
REi:SIDENTIAL. VALUATION, Y ' • .491.00
STATE SURCHARGE Y 3.50
ENERGY SURCHARGE Y - 15.00
x..tt.x..x..tt.jf.x.********************ar.*** MECHANICAL- PERMIT tt..x..x *vitt
CONTRACTOR= GILBE..RT CONST SERVICES INC
- STREET= P 0 BOX 141624 •
ADDRESS= SPOKANE WA 99214
PHONE= 509 927 8082
ITEM'DESCRIPTION QUANTITY FE:E:: AMOUNT
GAS HTG- E:QUIP<100, 00L>>I:{7U. I . 1 9.00
GAS PIPING 1 + . - .50
a
SPOKANE 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 provisions of any state or local laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT • DATE
PROJECT NUMBER= 87003255 DATE= 10/2.2./87 PAGE= 02
ISSUED PERMIT
)(#ilk###11* *####*116#%31##it#.1E9Hh1(' I''I._CI MBI NG PERMIT #*###..)h.l(-*#*#d 1(##..1..)f#. -t..)(###*•
CONTRACTOR= GI:LBERT CONST SERVICES INC PHONE= 509 927 8082
STREET= P 0 BOX 141624
ADDRESS= SPOKANE WA 992.14
ITEM DESCRIPTION QUANTITY
TOILETS 3
SINKS 3
SHOWERS 1
BATH TUBS 2.
KITCHEN SINKS 1
DISH WASHERS 1
GARBAGE DISPOSAL 1
CLOTHES WASHER' 1
UTILITY SINKS 1
FEE: AMOUNT
12.00
12.00 .
4.00
8.00
4.00
4.00
4.00
4.00)
4.00
.16 # iik ii -16
4.ir#########3116#31##16###*#i6.####16#'.u. PAYMENT SUMMARY #3131#######16##.)F.)4.R..1F # 16###
PAYMENT DATE RECEIPTt PAYMENT AMOUNT
10/22/87 4355 575.00
TOTAL DUE= .00 TOTAL PAID= 575.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUIL.DING PERMIT 509.50 ' 509.50 .00
MECHANICAL PRMT 9.50 9.50 .00
-PLUMBING PERMIT 56.00 56.00' .00
575.00 575:00 .00
PROCESSED BY: WE_NDI:::I..., GLORIA
PRINTED BY: FORRY, JEFF
3131###31#313116#31#3131###31###31###31#3131## THANK YO(J ******31####31###31######3131#..tt.
ant INSP - 10
lir DATE