1992, 11-23 Permit: 92010338 RemodelSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1363 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.
OWNER OR AGENT 74yritea,
SIGNATURE OF
PROJECTNi.;f'IBER.... 92010330
APPLICATION 023
2 3/ A99A990._DATE
ISSUED PERMIT DATE= 3 ,%:;i 92 PAGE=
01
********P'*y! 1! P:* ***7t*t:-9! R*ji*** pERmIT INpoRmATIoN r:.3 ii*k u•i' ii•iEnit•:N'•:ty.itrrrtlrit:n••n *-}r:,,:*:r1r
:s i..1.1.
S.i. t E, , 1 F E:E-I .... 7719 t::. SOUTH
F:]: vE:R. IA`!• AVE t'iif i.f:3.. O-:: 45063.2134
(-•?A?).?t";l::, <•,:::: :`rt"l+I<;ANE WA 99:::12
I"ERit.t. ( USE= PORTION OE BASEMENT FAMILY ROOM ... BATHROOM
PLATO- 001065 PLAT NAME= ORCHARD AVENUE tai . t h: s '1 "" ::.:::.. ,::
BLOCK= LOT= ZONE= AGSUB DI 14=
AREA= 00 t'? };: 0 0 0 0 I- / i.':? :::: W I t.? t t'Y - DE. i i j =
?,}t.. .ttt... %?:r:`•-:: i .ti. )??xJF i z... r. t':}•:r: :: i WATER l::.!'t ?.1. t ::::
OWNER= I<•. t`.1 O W L E ,' t<. I r K I::. !. 'v S. t"•. ?s .!. N .t. (•`•:
STREET= ?71Y t::. ?1i-,; ;'I'i I'{.1.'v' .:T.ItiA•Y AVE
ADDRESS= SPOKANE WA 99212
ACT NAME.:::: I<:.i:F.I{E:. OR b'3.F=.i,.LI`1.I.(=? It.j'•}i::t4I...I::.>::`
Cv ,_..., 926
4410
I•, W :: . 50
PHONE 'J i I' e A:1 I::: F=. = 509 926 4418
??.1.1`•17_, E:f(??.:t<,,`.• FR 1 I'd%? LEFT= 1'x'(3 RIGHT= l!(' 1''•:t::.(7t,,.:::: NA
•X•n ................... ::i ,..r ... ,.... . .... ...... .... ........ ... . .. .
.yt..n. -:r :�a n: �r u• f�: •x• ��: at• n: 3i• iii -}�: •}{• ri.:R• i�: �:. i!::1h •ri' ii• i{ it 3i -}t..x.::i •ie .i3 !.? .I. I... A? .. P'i ?x �' I::.1'<'. ?"! .. 1 :a •n• 3i •i�• n: if- li• �u: N: •'n: n: i�: ,�: -}ti it n::�..}{• ��: ��: •n: sa 'i�: ��::��::��: -n::d'
CONTRACTOR= OWNER
NEW=
DWELL JNITE=
BLDG w X .1? ....
REQ ARKING=
F'..—MODEL--:: X
OC LD=
SQ FT=
it1"IAf'},.1t.i.CAP=
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
SURCHARGERESIDENTIAL
ADDITION= ?.:i"If-?1•?Lxi::. ?.?i' ?.!,'r;:-::::
BLDG I..lt.yT::.. STORIES=
t.1Rs.1-.`.>=
i....t:.1...i.!_:Iii._ MAI= i'
VALUATION
10000,00
QUANTITY FEE A MOU is T
Y 1 0,.:;
•}E**if•itu•******•}t•*•h:•***•hi**:n:it:**•n:**}i* MECHANICAL PERMIT
CONTRACTOR= OWNER
ITEM DESCRIPTION
GAS PIPING
-n:*4,•9`•N-N:***}r••*****P:•*9t*•**** N•*•R'**•}t• t'`L?,mYf,, NG "7•'Rt''1 i **'}l•R•**iii Ni****lirlei '}k*'}k*****'Hr**'Nr '****
ii•*-ri-hi*ii******'h:**'h: }i-**it•'hi**i+•-;,:•:,t•
QUANTITY F;.,.. AMOUNT
:I
.00
1 10.00
CONTRACTOR= OWNER
ITEM DESCRIPTION
--
INK
BATH i ..1i,r S
BAR. 'INKS
QUANTITY FEE AMOUNT
•
6.'>(:}
7
6.00
.M...N ••r• r, , ::: -.:., ,••.:
6.c—
******************************* E" �A? Y i"i t::. rH : 7 t •A• i4. 9l• lei )4• ik •}{• Jl• Pt 94• •H ${• •Hi •Rt 'Ni 9?' * * 7l' Ni Ni :P. .Pi '}k '.l• * 'Hi *
PR
PAYMENT DATE
i'1 r'r........ `?'...
TOTAL DUE=
PERMIT TYPE
1" 1::.1'{. r'1.1. t
RE.CI::..F.F: i :Y: PAYMENT AMOUNT
...> .' ?'-177,56
,00 TOTAL PAID= 177,56
1" E 1::. AMOUNT AMOUNT PAID AMOUNT OWING
142.56 oo
24.00 24.00 .00
/..56 i77,56 ...l'..
BY: ,.! ?.} 1... h. ,:; t•'I !=? ! 1 O