1991, 04-15 Permit: 91001809 Addition SPOKANE COUNTY DEPART KENT 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 a any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel theprovisi9n f any state r local la ulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT ( , 4'1-- 2-L DATE
Af
PROJECT N! rB_ t_ c1rt1c _9 ISSUED FERMI DATE= 04/16/91 PAG = 01
-)i-ri}i•*ti•ii•;,i•*ii•ik•ji•if Vii•)i•' ii• •)i•ii•* •*ii ii*is 3i ii F'E::F°:M:i:'T' :F.iN F Oi R M A'T':I:O tf *#is ri iE**ri•**3i•'}i'*• ii•it*ii-n:»•***•7i•***n
SITE E STRI:.:E::T:::: 1223 S SK.i.F`IWflFt:TH RD 't•::'AFiT::FLr:c:: 21543-1204
ADDRESS=.;i:::: SPOKANE WA 99206
PERMIT 4' USE= 2ND STORY ADDITION .... (2)BEDROOMS & BATHROOM
PLATO= �. '. I`t...AT Nf'iiii_=::::: EARLSON ADD
;:>,:}t:1.-,;•,,-,
BLOCK= 1 LOT= :1 ZONE= i..ii:t....:: .:':• DI:ST4= E::'
RHEA= F,:A:::: I.. WIDTH= ,.Ir:i DEPTH= 141.1 F /W= '>t:i
•H• ?.1#" BL..i)cyy\= g: 17WELi....I.NtYS__ 'i WATER DIST =
OWNER= ,t•C+E...t;r11::..E T. JEFF & ROBIN PHONE= 5 0 9 `:S•:....:� 8645
1
STREET= 1223 S SKIPWORTH RD
ADDRESS= SPOKANE iAif'? 99206
CONTACT
NAME= JOHN CARL IFQNrNI. mTER=
909
); ,y74 4SAri
BUILDING SETBACKS : FRONT= iXI ; LEFT. IX. ` : iY- ;= EXIS REAR= Exa "
*•!r*•r:•n:•r.••n:•a••r:•r.•-»:•>"**n:•n:•x•>>••}i iii N•3i.*.ii.*x..n.ri..p..n.•}i• ::i i.i.i.i...t1.i.N lx i"'i::.F:I-h.. i 'li'•}i•:!j"}i•:)i•*b:.a;..ji.!4 A•**•}i•:A:•}¢•il•}i••P:$t•*R'•P:•A:•!i•!i:•1!••p:
CONTRACTOR= NE:"W1'•:P Ar'i::: REMODELING & CONST PHONE= 509 y _,,54 6565
STREET= 1312 ,S RAY ST
ADDRESS= SPOKANEWA 99202
NEW= REMODEL= ADDITION= .h i..:.'.r..?.',_.t.::. OF USE=
DWELL UNITS= i ()COUP. il- BLDG H: : STORIES=
BLDG I,I ;i {') •-- ):' SQ FT= 550 SPRINKLER= i-`J
REQ PARKING= OHANDICAP= CRITICAL MAT=::_ N
DESCRIPTION GROUP TYPE :`>f> FT VALUATION
ION
RES ADD 2F R-3 VN 550
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION v
117.00
St^ �.}..i.A I E:. ' !.i F':f.,i••i r•i Fti!x E:: r a c: '••
COUNTY SURCHARGE Y 18.72
:..... .... .............. .... ........ ,.•...:':'...;....i I.:I .. I: . ,.. .. ......... ......
lh 4k•P:•1�::�:9k'P:'Jk•)t••H:R••1?••!i 3t•34•R••P:•ri.••)?•�+r h:••} i+ }t 94 9� }� h !t L.!.i i"I f:t I,rJ i.•, i^'.:.#•;1"7 7. _ •)k•}G'1@ h:•F:.ji.:p..A•P:R••ri•S6)i..pi:Ni 1!••R•3{•bi•i{••H-h:•-It•-Ai•A:•bi ii 4t•P:9t
CONTRACTOR= OWNER PHONE=
ITEM I:.i1 DE::. Si_.RIF'T .t.O1i QUANTITY FEE AMOUNT
TOILETS 1 6.00
SINKS 4 6A00
BATH I I,.i B, i 6.00
e***tr} r ran*rr*1rfin) § *ii*W) ii uipAymENT SUMMARY
*1?.***ji.*.ii•Ji•1i•'P•9 'A:!t-$F A'•'ri•Ji-)i•P'li•*F•P•*:N.*•A:
PAYMENT DATE t't:f:.l..l.:..t.I I •,•• PAYMENT AMOUNT
04/16/91 2068 158, 2'2
................................................
TOTAL DUE= .00 TOTAL PAID= 158.22
PERMIT TYPE FEE AMOUNT AMOUNT f:T l.,i'11,' t` 1 AMOUNT c:II.4IN
BUILDING PERMIT 140, 22 140. 22 .00
PLUMBING PERMIT F " ii18.00
'i8;.0!::) .00
158.22
fti8 ;j2 : ,00
PROCESSED i:t 7 : WiENDEL , GLORIA
PRINTED E::.D 13`f WE.':.NDE#..., i_%i...OR:#.t:?
.1,..p..),..),..p..n.K.x..F..n:>e.••tt•*•**•)[ra:.i;..},;*.y...ii-3i ii•*a:)4*:p:*),:•u: THANK 7 I..l!.. aC.1,:.p:.i¢:11!,..p:*.},...ii••1t:•P:•N:K a r:•H•ii•*•N:•R•)k•yi:tl•ji•:A:•h Jt•-P:•P:•1!:•P:*
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: lnit: Appr:
(in) (out)
Dept.of Bldgs.
Special insp.Final Report
Hydrant( )
Lock Box
• . -
Engineer's RID/CRP
••• " Easements," • : • :;:i ,": • -; .
Road Plans/Improvements
Bonds : " •-•
.„ • " • •
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. .
. . .
. .
Planning • • Borit;is•
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. . . . .
. .
" " •' . . . .
. .
• ,
•
Utilities • " Double Plumbing
• • ULID ........
. . •
. . .
..,•
. . •—
. . . . . . .
Other
. . . .
,.„
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THIS SPACE FOR COMMERCIAL,PLANIS TRACKING,CERTIFICATE OF OCC;UPANCY ONLY
.
Date received for C/O processing': Plans pulled for final processing: '
Temporary C/O issued: • _ Certificate of Occupancy issued: • •
. :
Office file review by: Date:
. . .
Filed insp finaled by: • . Date:
- • - . .•
Ninety days after C/O issuance:
• Ownertoritraotor called regerciirig the return of plans: • • •• . Date:
Plans returned: Received by:
No response from owner/contractor-plans destroyed:_