1991, 07-09 Permit: 91004083 Safety InspectionSPOKANg COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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. J / /
SIGNATURE REG I--, C l �� l) DAPLICATfON 7 ( cf (9 /
OWNER OR AGENT DATE
4
PROJECT NUMBER= 9100.083 ISSUED PERMIT DATE= 07/09/91 PACE== 01
************• •*3•*3 *3'******* pERMIT INMORmATIOi4 ***•*••************ • •**********
SITE STREET= 516 S KOREN R:D PARCEi..4=: 2353 1-0908
ADDRESS== SPOKANE WA 99212
PERMIT USE= SAFETY INSPECTION OF RES ADDITION(L.IVINC; ROOi"i,EEDROOM,LJTILIT
PLATO=
BLOCK=
AREA=
N• OF I.tLDGS=
OWNER=
STREET=
ADDRESS=
000700 PLAT NAME=
8 LOT=
00000000 F/A=
i ;,: DWELLINGS=
SIMMONS,R., r RAY E
516 S KOREN RI)
SPOKANE WA 992i2
EASTWOOD ADD.
9 ZONE= UR._.3 5 DISTO
F WIDTH= 75 DEPTH:::: 218 R/ W== 50
i WATER DIST =
CONTACT NAME= JOE. SIMMONS
BUILDING SETBACKS: FRONT • NA LEFT== NA
yc•b:*3 **xxx*•xxxx******xxxxxx***** BUILDING
CONTRACTOR= OWNER
NEW= REMODEL=
DWEL.L. UNITS= i OCCUP . LD--
F:L_I)C; W X I) = X SQ FT=
REQ PARKING= OHANDICAP=
ITE:1 DESCRIPTION
STATE SURCHARGE
CHANGE OF USE/SAFETY INSP
PHONE= 509 534 8594
PHONE NUMBER= 509 534
RIGHT=- NA REAR= NA
8594
PERMIT x******xxx************xxxxxx
PHONE.
ADDITION= X CHANGE OF USE=
BLDG H(.vT=: STORIES=
SPRINKLER= N
CRITICAL MAT= N
QUANTITY F'EE.:: AMOUNT
Y _4,50
Y t:? 0,00
*3*****)'***********)****)'********PAYMENT SUMMARY****•x•xxxxxx:xx•xxxxxx•x•xxb:•*****
PAYMENT DATE
07/09/91
TOTAL_ DUE=
PERMIT TYPE
BUILDING PERMIT
rr__cE I PT:
4543
.07 TOTAL PAID=
FEE AMOUNT
54.50
54.50
PROCESSED BY: JULIE SHATTO
PRINTED BY : JULIE SHATTO
AMOUNT PAID
54.50
54,50
PAYMENT AMOUNT
54.50
54.50
AMOUNT OWING
.00
.00
****•*xx•li••H•xxxxx********xxx***i *** THANK YOLJ•xxx•x•;~x•x•xxxxxxx•x•xx*xxx•xx*xxxxxx•xx