1987, 02-19 Permit: 87000354 Residence SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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.The granting of a permit does not presume to give authority
to violate or cancel t rovisions of any state o.local law regulating construction or the performance of construction.
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SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER.QR:AGENT. DATE
PROJECT rLfIER_ 87000354 PARCEL NUMBER= 07551 -0158
SITE STREET= 17912 E::: E IVERWr'a't` AVE
ADDRESS= GREENACRES WA 99016
PERMIT FEES
. i : " DESCRIPTION M. AS +E Y " : { AMOUNT
R ::. .i.DENT 41 , ..A,... lr i"± ._U±"1 } N } OR BLANK 4,:i i .a .. ..
STATE SURCHARGE `f 1:.:Ii BLANK 'i' 1 ,50
0
ENERGY SURCHARGE Y OR BLANK `r' i 1 ,-.
4 5 3 5 0
AMT PAIJ_i:::: 4'':3„ 50
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f.:t.1 i•1"t'�. L_:E:t:::t1..... OWNER
CONTRACTOR= OWNER PHONE=
FIRM NAME= t:iWNEEFt.
ARCH/ENG= PHONE=
STREET=
ADDRESS=
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SOURCE : ELECTRIC= -t GAS= t:77:E...:::: t:::I::itsi..::- E:!5t::lt:jl:::: Y SOLAR= HEAT PUMP= ,+:
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ITEM DESCRIPTION MEASURE ( U i:•...,...."v,. FEE AMOUNT
WoclDS ovE:/:INSERT NUMBER OF 10,,00
Hl:f -TPUMF 1 -100M BTU NUMBER OF I I.,{•:a
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2 19,00
AMT PAID= 'i 00
CONTR .li..
OWNER
CONTRACTOR=1 E''±±t.;•(•taR OWNER PHONE=
FIRM NAME= OWNER
ARCH/ENG= PHONE=
STREET=
ADDRESS=
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SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
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