1991, 05-09 Permit: 91002471 Garage SPOKANE COUNTY DE!*ARTMENT OF BUILDINGS
W. 1303 BRCfADWAj(AVENUE
SPOKANE,WASHIN3TON 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 to al law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF iar, APPLICATION
OWNER OR AGENT / % DATE
PROJECT NUMBER= 91 :'.0.• , -DATE=• 05/09/91 PAGE= 01
! :,vCk.-.,?)-..!.T,T-.i+.Ji•Tt.f:Fi i+.,:..,. ft F•.f�. PERMIT INFORMAHONFtr�ii.,..:i i.T,It 4?•Tt Fi F i"i'!�;`.';`t•a „'9i•3i F}•9?•):it!r'Fh
12515
ADDRESS= SPOKANE WA 99216 . —
s.. ....Lt r...• 003776 PLAT NAME= HILLVIEW f-, ...'ri ? NO1
DWELLINGS=
,
ICHAEL W PHONE= 509 924 99'M
4 AVE-
-
pp ,
ADDRESS= SPOKANE WA f:y ..
CONTACT NAME= MICHAEL KNOWLES
PHONE NUMBER= 509 924 995S . 1
BUILDING SETPACKS : FRONT= 101 LEFT= . 5 RIGHT= 5i REAR= 5 I
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CONTRACTOR= OWNER ,OF...
NEW= REMODEL= Vii'
DITION=- CHANGE OF USF
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ITEM DESCRIPTION _ _ QUANTITY FEE AMOUNT
.t,..t.. .... t...tTI -
STATE 4 ,50
COUNTY SURCHARGE 11
tpAymENT EummARy
- PAYMENT DATE - RECETPTO PAYMENT AMOUNT
88.02
TOTAL PAID= S8.02
;..,r.,:..,.tt T-r TYPE AMOUNT
OWING
88,02 88.02 . 00
PROCESSED BY : JULIE ,;':'i F•t E I v..
PRINTED BY : JULIE SHATTO
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mu: Appr:
(in) (out)
Dept.of Bldgs.
npooia| |nov.Final Report
Hydrant( )
--
Lock Box
Engineer's -_ RID/CRP
--
Easements
-_
Road Plans/Improvements
_-
Bonds
Planning -_ -- Bonds
Utilities __ Double Plumbing
ULID
Other -_
' ~~^^^~~`~^~~`^~^^~^`^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCuPANCYONLv``^~^^`~^~~^~^`~~^^`'`~
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:
Owner/contractor called regarding the return of plans: _ Data'
Plans returned: Received by:
No response from owner/contractor plans destroyed: