1991, 10-30 Permit: 91007403 Reinspect FeeSPOKANE COUNTYI�EPAATMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-:875 -
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 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 <<Ui"SiitF:: d- ''
NUMBER= �i('074n3 ISSUE::A/
:D PERMIT DATE= i30/91 PAGE:::: 01
di di di di di dt dr ii ie di di di dr di di dr drdHEdi drdHedi—if ii ii di PERMIT INFORMATION dt##didHHEdr df dr YHi—Yidibf diiidt iiiiiP xde 3e iitie di—li
SITE STREET= 10822 E PONDEROSA DR
ADDRESS= SPOKANE WA 99206
PARCEL. n:== 04442-2407
PERMIT USE= REINSPECTION FEE FOR INSULATION
PLATO= 003662 PLAT NAME= VALLEY VISTA ESTATES
BLOCK=: if LOT= 7 ZONE= UR --3.5 DIST;;:::= E:
ARI:Et't:::: F/A= F WIDTH— 43:5 DEPTH- 363 E{;'L,I::::
m
OF 'itl._DGS= a DWT:a...1.INGS=: i WATER DIST = SPOKANE S(.Ili;i.lFiliAN
OWNER=: METCALF, KEITH PHONE------
STREET=
HONE_.=STREET= 10822 E PONDEROSA :DR
ADDRESS= SPOKANE WA 99266
CONTACT NAME= ROB LEWISPHONE NUMBER= 509 927 0655
BUILDING SETBACKS: FRONT= 64 LEFT= 36 RIGHT== 26 REAR= 1907
BUILDING PERMIT
CONTRACTOR= SPOKANE STRUCTURES
STREET= 502 N MULL_AN RD B
ADDRESS=: SPOKANE WA 99206
09 927 ,._,...
NEW= X
REMODEL.-
ADDITION=
CHANGE:: OF USE=
DWELL UNITS= 4
OCCUR. L..D==
Cii....DG HGT=
ST
BLDG W X D = X:
9Q E'T=
SPRINKLER= N
REQ PARKING=
OHANDICAP::::
CRITICAL MAT=
N
ITEM DESCRIPTION
QUANTITY_FEE AMOUNT
....................--..---.._.__._..._...._..._..------..
Eta -:—INSPECT FEE
-
-------- __.--_...._....__..__.
1 ,
50..0()
PAYMENT
SUMMARY
PAYMENT DATE::
RECEIPT*
PAYMENT
(-MOUNT
iO 3t7/9l
039
50.470
IOTAi._ DUE=
.00
------------
TOTAL PAID=::
5000
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID AMOUNT
OWING
----------------------------
BUILDING PERMIT
_.__.._........_—
.. 509,00
_.._._........._...__..._....— ----------------
50,100
,irk)
50.00
------------_-
:5t9.C:1t9
1013!
PROCESSED BY: JOHN i._ARSON
PRINTED Ii3Y: JOHN LARSON