1990, 02-05 Permit: 90000428 Repair Fire DamageSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certdy that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said perm it/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 issuanc- •f this permit/application :•: bsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel ih-+ •vision. of any state or localfaw regulate .construction, or as a warranty ofconformanceg with the provisionspof any� state or Iocal
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT- - ,- ;�✓� - DATE !XsiI
PROJECT NUMBER= 90000428
ISSI)EDOURRMSiTO PAGE= Of
**************************** PERMIT INFORMATION ****************************•
SITE STREET= 8 S MOEN ST PARCELS= 1955i -070i
ADDRESS= GREENACRES WA 99016
PERMIT US'E=.FIRE DAMAGE REPAIR OF LIVING ROOM OF DUPLEX
PLAT.= 001653 PLAT- NAME= MOEN ADD TO GREENACRES
BLOCK= 1 LOT= 1 ZONE= TFR DIST4:=
AREA= 00000000 F/A= F WIDTH= 104 DEPTH= i34 R/W=
A OF BLDGS= 0 DWELLINGS= 2
OWNER= GREAT NW FED SAVINGS & LOAN PHONE=
STREET= 8 S MOEN ST
ADDRESS= GREENACRES WA 99016
CONTACT NAME= INS CONSTRUCTION PHONE NUMBER= 509 487 2711
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BIJIL..DING PERMIT ****************************
CONTRACTOR= I N S CONSTRUCTION
STREET= P 0 BOX 7457
ADDRESS= SPOKANE WA 99207
NEW= REMODEL= X
DWELL UNITS= 2 OCCUP. LD=
BLDG W X D = X SQ FT=
REQ PARKING= :HANDICAP=
DESCRIPTION
GROUP TYPE.
PHONE= 509 487 2711
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
SEWER= N HYDRANT= N
SQ FT VALUATION
REMODEL R-3 VN 3000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL. VALUATION Y 54.00
STATE SURCHARGE Y 4.50
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT, PAYMENT AMOUNT
02/05/90 563 58.50
TOTAL DUE= .00 TOTAL PAID= 58.50
PERMIT TYPE FEE.. AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 58.50
58.50
58.50 .00
58.50 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU *********************************