1990, 05-25 Permit: 90002073 ResidenceSPOKANE COUNTY DEPARTMENT OF BIJILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
. - SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/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 perm it/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or can I the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF /L APPLICATION . 1 /
OWNER OR AGENT kei/ T/U/ / — DATE //'t Y Zs //[' `c
0
PROJECT NUMBER= 90002073 DATE= 05/25/90 PAGE= Oi
.ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 17501 E MONTGOMERY DR PARCEL4= 07552-0405
ADDRESS== GREENACRES WA 99016
PERMIT USE= RESIDENCE
PLAT x'= 004437 PLAT NAME= SP_ 569
BLOCK== LOT= 1 ZONE= AGRI DI,S'T4=
AREA= F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 4 DWELLINGS= i
OWNER= BLUM, JELMER E PHONE= 509 255 6322
STREET= 105 S NEYLAND RD 4
ADDRESS= LIBERTY LAKE WA 99019
•
CONTACT NAME= JERRY BLUM PHONE NUMBER= 509 924 2341
BUILDING.SETBACKS: FRONT= 26 LEFT= 200+ RIGHT-: 20 REAR= 36
***.*..**.*..x..x.*.*..************..g..*..****** BUILDING PERMIT*****..*.*..x..******.*..M.*.h.*.*x...***.**.
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF IISF=
DWELL UNITS= i occur-. LD= BLDG HGT= STORIES=
BLDG W X D= X SQ FT= 2430 SPRINKLER= N
REQ PARKING= 4HANDICAP= CRITICAL MAT= N
ENERGY CODE= NWEC UTILITY= WWP
DESCRIPTION GROUP TYPE SQ FT VALUATION
• GARAGE M-1 VN 702 4914.00
MECH ROOM R--3 VN 100 900.00
RESIDENCE R-3 VN 2430 106920.00
2ND FLOOR R-3 VN 437 9614.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 720.00
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE Y 115.20
****.*.x..x..x..x..x..x.*..x.**.*.x.*.*..x.*.*.***.*.*.*..x.*. MECHANICAL.. PERMIT *****.*.**x.*.**.*.*.x.*.*..*.
CONTRACTOR= OWNER
ITEM DESCRIPTION QUANTITY
DUCTWORK SYSTEM i
HEAT PUMP 0-3 TONS 1
*.*..*..*.*.*..*.*..*..x*********.*.*..*.*.*.*.*..*.*.*. PLUMBING
CONTRACTOR= OWNER
ITEM DESCRIPTION
PHONE=
FEE AMOUNT
10.00
12.00
PERMIT ******.*.**.*..*.*.*.:x****************
PHONE=.
QUANTITY FEE::: AMOUNT
TOILETS 3 18,00
SINKS 4 24.00
SHOWERS 2 12.00
BATH TUBS 2 12.00
K): TCI"IE"N SINKS i 6,00
DISH WASHERS i 6.00
GARBAGE DISPOSAL. i 6,00
CLOTHES WASHER 1 6,00
UT.T.L:I:TY SINKS i6.00
ELECTRIC WATER HEATERS .2 12.00;
FI...00R DRAINS 1 6,00
BAR SINKS i 6.00
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
.W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 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 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 construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT - DATE
PROJECT NUMBER= 90002073 DATE= 05/25/90 PAGE= 02
ISSUED PERMIT
*****************************it
PAYMENT DATE REECE:IPTx
05/25/90 2'04
TOTAL DUE= .00 TOTAL PAID= 981.70
PERMIT 'TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
* PAYMENT SUMMARY
.********3E*3E**************3*3*3*.
PAYMENT AMOUNT
981,70
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
839.70
22.00
120.00
-------------
981.70
839.70
22.00
120.00
,00
. .00
.00
981.70 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEI._, GLORIA
*;E*3e3[3i3e*******u*3<•3c*u3t******+i•**** THANK YOU****a***3t3t*3t**3r#3i3e*********3t****ti