1991, 02-13 Permit: 91000478 Reside, RemodelSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. in3 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(V9) 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 th4rowsions 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 $3/4/
OWNER OR AGENT APPLICATION _.�fDATE
PROJECT T i,Ji.Jf'•iP1i::P.:: 91000476
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PERMIT,
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SPOKANE LI r-4 _ :296 ..
RE—SIDE RESITii::'ar:E. INT(::RIOF:' REMOF)
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4= 16541-0421
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- OWi\IER:'.' A1_.E.2".A1NDE:R, JAMES F:OBIN
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CONTACT
BUILDING. ,
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tesla il�i:''m ')': 924
CON IRAC'T'r:JJ:;=_ GARY R MAL IN CON'c't,-:,•..:,ION
ETEir::E:: -. 1410 Id i*if1FJI:'OE ER'i)
A11C)Ri:':>:?::_ (-:Cil...;'1.'r.:k I' WA 99005.
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ITEM D SCRIPTION
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STATE SUREi-ir- I GE::
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QUANTITY
Y
Y
Y
SI,1'riMiE
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: VALUATION
11000,00
TEE -AMOUNT
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* * 1(' 9: ')l"1(' 9( ,(' 1(''li" ;l" )l' 9i"➢: P: T: i••:.p: :') i, $�: # 9( 'j: Il )( li' 9(•
P AVFNT AMOUNT - ..
1
1501 :!;:!1.)
.TOTAL. DUE,, - ;00- TOTAL. FA:i:D- '1!S0:66
RE:RNI'T, TYPE - FI:::E .Ar,UUj': i AMOUNT PAIR' , AMOI.JN'T' OWING
BUILDING F-ERr1- I5 0 :. 66 ic9.cr . 00
i 50 - 66 150,66 . 00
PROCESSED ii .j{JI... ii::. SHAT TA -3 .
PRINTED L<`r : ',:JULIE SI-IA,.T...f(:J .
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