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2001, 06-12 Permit App: 01004553 Safety InspectionProject Number: 01004553 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/12/01 Page 1 of 2 Project Information: Permit Use: SAFETY INSPECTION ON DOUBLEWIDE & GARAGE SEE #92-2869 & L6714 Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 000646 Name: DONWOOD EAST Parcel Number: 55064.0809 Block: SiteAddress: 18305 E LIBERTY AVE SPOKANE, WA 99216 Location:: SPO Zoning: UR -7 Water District: Area: 0 Sq Ft Nbr of Bldgs: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: Permits: Contact: Address: C - S - Z: Phone: Group Name: Project Name: RANDRUP, JOHN & RUTH 18305 E LIBERTY AVE SPOKANE, WA 99216 District: G Urban Residential -7 Width: 80 Nbr of Dwellings: 1 Lot: Owner: Name: RANDRUP, JOHN & RUTH Address: 18305 E LIBERTY AVE SPOKANE, WA 99216 Hold: ❑ Depth: 150 Right Of Way (ft): 0 Contractor: OWNER Address: 0 000000, 00 000000 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: Change Of Use Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Item Description CHANGE OF USE/SAFETY INSP STATE SURCHARGE Units 1 1 Type: Building Height: Sprinklers: El Critical Materials: 0 Unit Desc Y OR BLANK Y OR BLANK Permit Total Fees: Stories: Fee Amount $50.00 $4.50 $54.50 Project Number: 01004553 Inv: 1 Application Date: 6/12/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: uno,..1.,.... _ ::z Operator: DMD Permit Type Building Permit Notes: Printed By: DMD Print Date: Fee Amount Invoice Amount $54.50 $54.50 $54.50 $54.50 Amount Paid $0.00 6/12/01 Amount Owing $54.50 $0.00 $54.50