1991, 12-31 Permit: 91008837 RemodelSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOT ANE, 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 violateorca- - e 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 constructio
SIGNATURE OF APPLICATION �j
OWNER OR AGENT r�/YL APDL / ^ 3 / I
PROJECT NUMBER= 91 00883]
ISSUED PERMIT DATE= 12/31 /91 PAGE= 01
******at•***ah •at** •*3+:***** tai*** PERM:(T INF0RMAT IoN * ******iia;i•**** *•;t•x •• ***** •••
SITE STREET= .14604 E MISSION AVE: PARCF"i..O= 16541-0132
ADDRESS= SPOKANE WA 99206
PERMIT I.JSE:=: REMODEL. EXISTING ATTACHED GARAGE INTO FAMILY ROOM
PLAT :::= 001 860 PLAT NAME:::: ORCHARD ACRE TRACTS
BLOCK= "} LOT= -" ZONE= ... r., I:i I 'T;: _:: i�:
AREA= == i="/A= F WIDTH— DEPTH= f,.° ;' „1::=
OF BLDGE= i 4 DWELLINGS= -: •i WATER DIET
OWNER= GRACE, DANIEL A. PHONE= '509 921 0374
STREET= -16604 F:: MISSION ICiN AVE
ADDRESS::: SPOKANE WA 95}206
CONTAC•! NAME:::: DANIEL_ GRACE: PHONE NUMBER= 509 994 998
BI_iI.i._ItINGSETBACKS: FRONT= t:`rii = NA i...isFT:: NA RIGHT= NA REAR= NA
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CONTRACTOR= OWNE:R PHONE=
NEW= REMODEL= = X ADDITION= Ci"iANi-F:: OF USE=
DWl:=!_.L.. UNITS= I OCCI.IF`. i...D:= BLDG HGT= STORIES=
BLDG; W X u = X SC FT= SPRINKLER= N
RE€ PARK:i:Nt;:::: OHAND:FCr1F'=: CRITICAL MAT:::: it?
DESCRIPTION GROUP TYPE SCS FT VALUATION
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REMODEL R-3 VN 500.00
ITEM DESCRIPTION QUANTITY I.TY FEE AMOUNT
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RESIDENTIAL VALUATION Y 35.00
STATE SURCHARGE,
F CYE::_ f` - . 50
COUNTY SURCHARGE .Y 5.60
*•;<•* ••x•x3t*. *: rtit *•x••s:•***x*****at*•a** F'AYi.E:NT SUMMARY •k N:•)t•P.••N:•A*!t It••jt•)t••P:***•P:•1{.R..k:•***•A:*•P:*
PAYMENT DATE RECEIPT:N: PAYMENT AMOUNT
12i31/91 9730 45.i0
TOTAL DUE.:::: .00 TOTAL AL PAID:= 45.10
PERMIT .TYPE FEE AMOUNT
BUILDING PERMIT 45.10
45.10
PROCESSED BY: ..JOHN LARSON
PRINTED BY: JOHN i.. AR ON
AMOUNT PAID
r.••
4 ) . • t•
45.10
AMOUNT OWiit'NG
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.00
-------------
.00
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