1991, 09-13 Permit: 91005762 Enclose BreezewaySPOKANE COUNTY 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. I understand that the issua •s pe app 1 ati • . and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or can regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating constructio
SIGNATURE � DATE APPLICATION
OWNER
OR AGENT .�-��.• . -=
PROJECT NUMBER= 9.1005762 .L,:•,.. 1. j±::.D PERMIT DATE= 09/13/91
PAGE= I E: 01
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11825 E MISSION ay ?" Ft_l!:_ 09544-0127
ADDRESS= S:.. Sv1-`!.iikF'{NE WA 99206
1
PERMIT
1::.Iti`t"i:i:T U t' i:. ENCLOSE I':f R i :.1::. ' 1::. Ihl r't ''r (RENEWAL)
PLATO= 0037.15 1 i :.
BLOCK= LOT= = i ZONE= UR -3,5 �. } ..�. E..
AREA= --
Fi?'i,'.-.t•.;::- •,•:' /r'Y::. WIDTH= .ij_}::{ DEPTH= i••(::.. -':!:% .. ..
4 ;-,r?•• :i1. D1_,4':::: 0 DWELLINGS= : 1 WATER DIST .... MODERN
OWNER:, JOHNSON, RICHARD
STREET= 11825 f MISSION AVEr"11.?D1 1::,` :::: y .:(.' is WA 99206
TACT I NAME::.=: RICHARD .,,IO:'.N kOt•.
i'1•4(3NE::. 509 927 9369
PHONE NUMBER= 509 927 9369
i�f i..! :.. ! s �. ?'a {. r SETBACKS: FRONT= NA NA RIGHT= N rAI REAR= jv {:1
.... ... ...j .......... x . .. 1...• ',' t{' •:;i 'i' 'Y' *K**************************
'P: i+: �}+r -1+i �Ai •}�i ik •}l• -}4 -Pi ?t• -}+: 7+: Jk �P: �A: 1+i �J�i 1+: •h:• +i �}+i •P: iC 9: •!�: •R• •J!• •JC •J!• �Jk �•5 I_ 7 i, i #i .. i ! . Y i ' ::. , . i . _. ,
CONTRACTOR= OWNER PHONE=
i W 1::. I...1... UNITS= •1 1..? t..: i..: 1..I C' i REMODEL= ` J ::::
BLDG W :1 r} = ::l t' :...
1.° ?::.1 PARKING= :°: i..1 j'•± 1111,�:$ �•!"ti P ::..
240
Al?.D1:TIC:1N=
BLDG y� i l i:r •-••
SPRI
KLER= N
CRITICAL MAT= ,1
CHANGE OF UEF=
DESCRIPTION i 4 ?•t; l- U TYPE .. `Y FT VALUATION
REMODEL s;:..... VN -1000,00
ITEM DESCRIPTION QUANTITY FEE AMOUNI
RESIDENTIAL VALUATION 7 :95:00
STATE SURCHARGE 4.
c; tt
COUNTY SURCHARGE 5
:,.::::.:::.. ;::::..:::,.:...,..:::..::: +: +: ' : +: �: : +: i :: ; . +; ::: ; :... '. E 1... . .. ....... . ..... ..: ...........
J /!nnn yJ�nJ!J a'} .!auJ nJ nr1 1 flJ !n} n.aA}! i"'F�1'rP/I?::..•, j ,:::..
,.:• ... 1'•1 r•1 Fa 1": Y ;.t..�..�..i!• •�!• �n: •n: •}+: 'vi 'h:• •p; •!,: �n; •J!• �k �la i+: d+: •�i• •}e •�t -ti• i�,::a: •J+: •>,: �Jr -J!•
RECEIPTO PAYMENT AMOUNT
6479 45.10
.... ........................ ....................
,00 TOTAL PAID= 45,10
FEE AMOUNT AMOUNT ? 4PAID AMOUNT OWING
45.10 45.:1'} .;00
.5.10 45.10 :00
PAYMENT DATE
09/13/91
It:TIAL... DUE=
PERMIT TYPE
................................ ........ .... .... .... .... .... .... ....
MITI DING PERMIT
, E:: r i;i L : l {,t 1....1.1::. ,.`; t" l A T 1~ O
—ED BY. ,.;1.11...:1: IF :- H F E r• r::?
* .}{ * +r * * ;+r * 4f: * * •}+r •}+r ?i A: Pr K * •Pi • • •• •• * * •• •• •!+i )�r •J i -}:i •• .Pr THANK 't' f I E i ******K*************************