1992, 03-16 Permit: 92001559 Additiony
SPOKANE COCNTY 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 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construc
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 9200/559
3' $"R'
APPLICATION 3-,6 _ 5z
DATE
ISSUED PERMIT DATE= 03/16/92
PERMIT INFORMATION 3iii3i'3+3iv:3i'343i
SITE STREET= 12603 E MAIN AVE
ADDRESS= SPOKANE WA 99216
PARCELS= '1 5543-2709
PERMIT USE= RESIDENCE ADDITON / BEDROOM & BATHROOM
PLATS= 001858 PLAT NAME= OPPORTUNITY SIUD.TR.121
BLOCK== LOT= ZONE= AG,SUii+ DIST-4=
AREA= F/A= WIDTH= DEPTH=
OF Bi._DIGS== 1 DWELLINGS:::' 4 WATER DIST :_.
taWNE:R== MAL..STROM, FRED
l�I I„1== i,..' 1 Q B`�j F IL DL'V
ALit�=E?�::.a a=: r'hRA?4E:: �dr'1 ��l art
F
PHONE== 5:)9 922 R653
CONTACT NAME= FRED MAL.STROM PHONE NUMBER=
!BUILDING SFTBACKS: FRONT== 60 LEFT= NA RIGHT 29 REAP=
3i'*3E*'3ii' ii3k
iiSi3i*3t3''3i'iE3i343iii' BUILDING PERMIT
of
.It' .3*'.i@...i..... 3i. 3i 3G 3f 3i 34 3l' 3( 3*—* P: 'hi .A..A.:.:3 3* 3l A ik #
CONTRACTOR= OWNER PHONE=
NEW= REMODEL.= ADDITION= X C:HAivGE OF U.
DWWEl_.L. UNITS= 1 (iCCUP. I...1) 3-5-A BLDG MGT= V
BLDG; W Y: D = 16 \ 32 SQ FT= r SPRINKLER= N
REQ PARKING= :uII.1nNDICrda:::: CR:I:T:C.CAL.. MAT== N
DES -GRIP ION GROUP TYPE.:: SQ FT
RES ADD R-3 VN 352
ITEM DESCRIPTION QUANTITY
RESIDENTIAL... VALUATION Y
STATE:: SURCHARGE Y
COUNTY SURCHARGE Y
3i'.ri'.**3i3*3*'3 3*.*34pdi'.k'3i. 3'.ii.u. 3i. 3i..ii..x..ii.3i.3i. MECHANICAL PERMIT ii
VAI..LJATION
14432.,00
FFE 1- AMHI IN.I.
CONTRACTOR= RAC:TOR:'= OWNER PHONE==
ITEM DESCRIPTION QUANTITY FEE AMOUNT
DUCTWORK SYSTEM 1
3E 3�z: 3r 3E r,''3i'3e 3e 3e 3e 3i'#3r##3E#3e PLUMBING PERMIT 3F #3e'k 3E 3E 3c i<frx uxz
10,00
(.:ON i RAC: i OE=. OWNER
ITEM DESCRIPTION
TOILETS
SINKS
SHOWERS
QUANTITY
PHONE.
FEE AMOUNT
1 6.00
1 .0'0
1 ,.00
x
:nrL:3f:n:'#3i3r3i3is:i•:3i'3i3i3i'3i'3i'3r3i'3i'3e 3i' 3i'3e PAYMENT SUMMARY 3r'Y:3i"x'3i'3i 3i.fi'.u..iE3r:a.3t3i..ii.it..ii.3i.;•:..tt'a:'b:.:a...h:'3i'b:r:;i'
PAYMENT DATE
U3/16/'92
TOTAL DUE:=:.
PERMIT TYPE FE:F: AMOUNT
RECEIPTS
1742
.00 TOTAL.. PAID== 223. 66
NI. PERM I T
7 I I'I I
P L:. tCi'I.I.
I'! E t'r1 f -i i:! .l. l.:
PLUMBING
**it- ik 3R s:
PAYMENT AMOUNT
195.66
i0,00
i B ., 10 0
........................
223,66
JOHN I._t'RSON
_iijldN L.ARSiON
*** t A CHHI. 9l' it"P. lhl':- -x .l''1"'i4'ii' 9" i+' T'
AMOUNT PAID
195.66
10.00
18 a 0Ci
,(23„66
AMOUNT 0161 I NG
•t)
.00
.00
THANK .. .. ... 3434"!l'3l'3434'Ik •hl •)t'•:Y•3i.:)i.:P: 'M 3i: 3ii 31'9'P'3l'IF'.3l'X********