1991, 09-30 Permit: 91004558 Garage Addition 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 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 APPLICATION
OWNER OR AGENT DATE
PRO:.1!::.t.: ! NUMBER= 9100.4558 REVISED PERMIT
INFO DATE= 09/30/91 F'rjGE= 01
ik Ji'i+?•iL h•ri'N'it*ik ii.',{•Sit iI•}t•i4•ii•ii•?!'j()i'ik iiI li'*ih iii ii• R I::.I't°#moi.l. ? I N E i..i#"•:!"#f••i ? .(.t•11`•F ii'it•iR•lii i!•i{i}ik•H'•ik li'it it'it ii•ii•ie ii•'i;.)!'ii'A'ii-ii'N•it N•'it
SITE STREE:T.... 7622 I::: KIERNAN AVE E.,j T•_:r., 0= 06543-2402
ADDRESS= SPOKAN#. WA 99212
PERMIT USE:: GARAGE ADDITION
PLATO= 001865 PLAT NAME= riE{`r,i'I(-tRD AVENUE ADD t. f I•`. . 1 —228)
1
E-i?'t.L:.;•., ?.. ,:A= F WIDTH= 60 DEPTH=#"!:::: '1 .:: i ft': .t:::: ..",•`.
v
.i. ...I.. BI... %G,.i.... 1 :H: DWELLINGS=: i WATER ER ?_tIE t ::::
OWNER:::: BRANI)A JERRY PHONE= 509 5305
BOX 11171
ADDRESS= SF' :.!s J .. WA 9921
CONTACT NAME= ,.+I:::Et°it'-r` BRANDA I:A PHONE NUMBER=BE::F,;= ..,+;?': 5305
BUILDING SETBACKS : FRONT=:::: :: is% L.E1" ! = 40 RIGHT= 5 R.t::.fii':;:::: 50.t.
.;;..ii:ii•:u.•a.•'ri.•i+:ii•ik•it•ii•'ii•it i+.i{i{•it ir.•ii;•n...ir:•ii•*i+.•iC•N.•ic•ii ii•ii ik BUILDING PERMIT it..j,..u?.j,,i,.:x...ji.j;.:p:.b:X:•P.*.ji,i,..ji..i{••ii•i{••i+:•n.ir:•ri:•>,:•n:•,t•,i:•,i•
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= x•. t.:Hf•iNG::. OF USE=
DWELL UNITS= OCCUP. LD— BLDG HGT= STORIES=
BLDG i r; i/i Y D .= :'`` SQ:r l.. ('= 140 SPRINKLER= i`y
REQ PARKING= ::I"It'i'reD:I:i:::r':iP:::: CRITICAL At.. iir:A-T::.. t
DESCRIPTION 1.r:ij GROUP TYPE so: FT VALUATION
GARAGE !,1....1 VN 160 1120.00
ITEM DESCRIPTION Q' ANTI•`i Y` FEE AMOUNT
'41:: >:Eh?::.!',! ? .l.Al... ''A:...+..lf•r i .E(:.II'J i :n'.: :.S:ji`.i
ETAT I::. SURCHARGE ( 4 :5E)
COUNTY SUR?. ,;-
.,i..'s+;ii.i+.•H:.•P:it i+:i{...:p.•i+.......ji..j*N.1+.'i+:ii•i+.•}i• *ii••}i•ii.i+.•}¢ 'P : SUMMARY •ri:9k7t..,t••A••riiiR•ii•i+iAi•A•P.Ai+:•P:•ri:H•¢i:it•Ni•Rr:*ik•P:9i:iei+:
PAYMENT DATE RECE:[ 1-:R• PAtYME::NT AMOUNT
i:l', 29,•`77l 5099 45.. •10
09/30/9 1 7069 45. 10
................................................
TOTAL iil..11-:::: .*)i *TOT fhtl... F'AID::c .f}5. '1 0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT »i.,''I:iii..,
BUILDING I:'i:::l';'.1l:T 45. 10 "r:.!.. '1 i:;} .,00
45. 10 45. 10 ..00
PROCESSED BY : JULIE SHATTO
PR.I:i'';'i:::I? BY : ..iUL.]:F si..Irt..(._(•a1
..........3.....
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VENDOR MISC
CODE
NAME JERRY BRANDA
ADDRESS BOX 11171
SPOKANE, WA 99211
SPOKANE COUNTY PAYMENT VOUCHER
ini
m oi
DATE 10/01/91
129299
AGENCY CODE ENFORCEMENT
NAME
a,
AUDITORS STAMP
ACCOUNT DISTRIBUTION,
ORIGINATING ENTITY (ALL VOUCHER TYPES)
-
•
1099 REQ'D ID#
LINE
NO.
VENDOR
INVOICE NUMBER
FUND
FUND
AGENCY
ORGAN -SUB
ACT
OBJ
OBJ
REV
SOURCE
SUB
REV
JOB
NUMBER
REPT
CATEG
BS
- ACG'r`
DESCRIPTION
A AOUNT
1
91004558
406
030
0008
2210
02
REFUND
40.60
2
N20
675
3700
4.50
DETAIL
DESCRIPTION
1 REFUND ON PERMIT #91004558 FOR 7622 EAST KIERNAN AVENUE PER
I, the undersigned do hereby
certify under penalty of perjury
TOTAL
45.10
COPY OF PERMIT AND MONEY ORDER AXKMKKK - DUPLICATE PAYMENT
that funds have been
sufficient
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered or labor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
Spokane County or fund agency
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury
that this is a true and correct claim for
necessary expenses incurred by me and
that no payment has been received by me
on account thereof.
SIGNED
indicated above, that I am autho-
to
TITLE
INTRA -GOVERNMENTAL VOUCHER
rized authenticate and certify
to said claim.
DATE
SELLERS ACCOUNT
DISTRIBUTION
EXAMINED and ALLOWED
Et�ID ,�
OFIGAN'
IZomoN
SUO °
one
ACTIVITY
NUE
SOURCE
REV
SRC
JOB NUMBER
CATEG-
t t aLES
ACCOUNT
19
CERTIFICATION
DATE
SIGNED �, c
'`
CHAIRMAN
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
TITLE OFFICE ADMINISTRATOR
MEMBER
rendered or the labor performed as described herein or contracted TITLE
for, and that the claim is a just, due and unpaid obligation, and that
10/1/91
I am authorized to authenticate and certify to said claim. DATE
DATE
MEMBER