1992, 07-13 Permit App: 92005177 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 specdied
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 provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92005177
APPLICATION DATE= 07/13/92 PAGE= 0i
****** THIS IS NOT A PERMIT *.*.*.***.
PENALTIES WILL 1'.L: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=: 1905 5 LAKE RD PARCEL..I':= 3 5252. 1504
ADDRESS= SPOKANE WA 99212
PERMIT USE= ENCLOSE EXISTING DECK FOR FAMILY ROOM ADDITION
PLATO= 002723 PLAT NAME= VALLEY VIEW HIL..I...S 4TH ADD
BLOCK= 1 LOT= 4 ZONE= UR -7 DISTIL= E
AREA= 00000000 J"/A:= F WIDTH=: 140 DEPTH= 200 R, W= -
R OF iiq._OG,S' , I; DWELLINGS= i WATER DISI' _••
OWNER= OL.SON . ARTHUR W, JR
STREET= 1905 S LAKE RD
ADDRESS=: SPOKANE WA 99212
PHONE== 5E)9 534 1 766
CONTACT NAME= ARTHUR OL.SON, JR PHONE NUMBER= 509 534 1766
BUILDING SETBACKS: FRONT= NA LEFT= 50 RIGHT= NA REAR NA
#.**ii..K..h..)F*if***********#i{****i4** REVIEW INFORMATION %*ih*****ii*****x iHXXXMhx*)i)f
DEPARTMENT REVIEW COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
HEALTHDIST ENCRE ASI= N I._OT CO"ERAGE
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APPROVAL COMMENT
CONTRACTOR-. OWNER
P1 011E=
NEW REMODEL= ADDITION= X CHANGE:: OF USE=
DWELL UNITS= i OCCL.JF'. 1...4::= BLDG HGT-: B STORIES-:
BLDG W X D = X SQ FT= 593 SPRINKLER= N
REQ PARKING= 4HANDICAP= CRITICAL_ MAT== N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADC) R-3 VN 593 24313.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 252.00
S'TAT'E: SURCHARGE Y 445O
141::.SI.D......:AL. SURCHARGE Y 45.36
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 301.86 .00 301.86
301.86 .00 301486
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******li•.k..)fs:ri..)i..)e*********X********* THANK YOU ******)i*x**x) X*X*RX)iXXX**XXKX*X*g
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