1991, 03-14 Permit: 91001110 Safety Inspect SPOKANE 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 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 provisi.•s of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructi
SIGNATURE OF APPLICATION
OWNER OR AGENT ' �'� DATE _icy._ /
PROJECT NUMBER- ::i. OD'• F ' (?! ISSUED ::RM 1 :c:/: # I-= 03/14/91 PAGE= 01
.... .. .......... .................................. .,., . •.r A..,. ._. ************************k***
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Y' i. 1 i # ..F„i t'+1
{ I::. SIREE1 = i209 ,`: RAYMOND RD PARCEL4= 20544—i942
ADDRESS= SPOKANE F.: Wi:i 9926A
PERMIT USE_:. SAFETY INSPECTION OF RESIDENCE
PLATO= 002704• .: , ..V#::.I't.,:>.F. IY PLACE
BLOCK= 10 LOT= ZONE= UR-3,5 DISTO=
AREA= 00000000 WIDTH= "F D E l::,..i.i..i :: 150 r;;:.`'l;.i:::
',,- !,?F- i._D!r :•::: 1 s" is!4#`.1...L.I N t v :,..:: 'I WA t ` DIET
t-,Ii,.?i'?I:.i.,.:::: y i .::.M'1::.N EON , :.I r;, is. PHONE:-
STREET= 1209 RAYMOND RD
SPOKANE ADDRESS=: 1"!S Y:t�11-L:. !nif'f 99206
CONTACT NAME= •..ii::.I- ' SYLVESTER PHONE NUMBER= 509 624 ... ...6 i
BUILDING : I1I ! .: FRONT= N A LEFT=
, t : I--,;A RIGHT- j'•i t`;, REAR:::: NA
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.... !..+.?.I.i r l.x 1''#::.i';1"1... I
CONTRACTOR= t W,•' ,.::tl.?I'`..:..
NEW- rc. REMODEL= ADDITION= CHANGE 111' %),':•i::.::::
DWELL t-t t'`!.#. 1 ,.:--• '1 !.i C!.:!.?h' .: 1. ! :::: BLDG #"!a 1 'T STORIES=
RE@ b::Ar{:1'-..I,i"Js:.;.:::: OHANDICAP= CRITICAL MAj':::: j`•-1
ITEM DESCRIPTION QUANTITY ::1::.F: AMOUNT
STATE 1 E :•!..RcHARG:. Y' 4 ,50
CHANGE OF USE/SAFETY .i.NE P 1' 50 .00
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PAYMENT )_aA # I.:. ht. ::.!.:F::. t. ` i :,,: t-`A Y t t I-f'. i (.:,1"1 i..?1 r N 1
03/14/91 1268 54 ,50
................................................
TOTAL DUE= :.1:14;! TOTAL ."`f•'t.#...1:::: 54 .50
I ! i Y AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT :::%.a§:.:?'::( 54 , 50 .00
54.‘50 54, 50 00
PRuCE
PRINTED;+ ..:,..,.,......` r::••.• . JULIE
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