1991, 07-15 Permit: 91004208 Finish Basements SPOKANE COUN.'Y DEPARTMENT OF BUILDINGS
I
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.
V.
SIGNATURE OF /J ;'- DATE
APPLICATION ;�C fr /S `7 7
OWNER OR AGEN -----Ir1—
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{.:,.,.:t i...t':::!..: NUMBER= 91004208 ISSUED Pr•f•,.:;••1. _j. DATE= 07/15/9i PAGE= 01
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SITE STREET= 11211 E SPRINGFIELD AVE PARCELO= .16543-0177
ADDRESS= S F fOK ANE WA 99206
PERMIT USE=:: COMPLETION OF BASEMENTS
PLAT0=.,+..... 0ji02 :5 PLAT ±:±AML..:::: isi.iW!.!3.,.:+•'{ PLACE 1ST ADD
BLOCK= LOT= .:.ON±':.= ;._j!.!!...'3:... DIET4=7r--
AREA= 00000000 [' %f::i:::: j:- WIDTH= :'j DEPT i"t:::: .I A+.r ;..iY 'i!,f:::
41, OF aSLi)!rS.:: i0 ±_1t:4±:'.±...i....i.±••it.•r:.:.... WATER DIET
OWNER= :.f., t t": PHONE= 509 9 2t; 0774.3r.. }
STREET= i i 2 i i E SPRINGFIELD fib'±::.
ADDRESS= I`OKANE WA 99206
CONTACT NAME= PEACOCK CONSTRUCTION PHONE NUMBER= 509 ._` ,' 7332
:
BUILDING SETBACKS : FRONT=:::: NA ,..tri — `:F.; RIGHT= NA REAR- NA
ik.}:.: . i : 4 4 NNk APN *i nPP *jp} i ii { Pk BUILDING hC" . . ?AA 1 9 P•PP9k Y C pr 9i P3 1 8 P ! P ; P9r9k
PHONE=CONTRACTOR- PEACOCK CONSTRUCTION ±.:L.It..ir-dF:.:::: i% 927 7332
STREET= 13403 E 15TH AVE
A tDRi::.`± ':::: SPOKANE WA 99216
CHANGE E OF I.
DWELL UNITE= _ LD-:: BLDG�1(; {-1 i T:-. STORIES=
RI:?:? PARKING= 4I••{A±`•dD:t.i..;f':t!-':::: ±..:R'i..3•.(i:;f`tl... (•%jr.:, ± ::: N
DESCRIPTION t_ [t±U,•• TYPE SO FT VALUATION
REMODEL i: .....y ;,'`N tit:}f:0 00
ITEM EM DESCRIF' i .ItoN QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63.,00
STATE SURCHARGE Y 4 ,.50
COUNTY SURCHARGE .. ., .}8
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,•f't'f t'±I::.NI }..r f"+ ± L ±••:I:"C E I:P T O PAYMENT AMOUNT
07/15/91 S.}-1a2 ••F't' t:,c
± O• ± A!... DUE:::: AO tO ± t.a±... PAID= 7758
PERMIT TYPE p'F:.1... AMOUNT AMOUNT PA.I..i. AMOUNT OWING
BUILDING PERMIT (-i..58 77,58 ..0!1
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PROJECT ALSO ..NC.:!...UDES EAST 11213 SPRINGFIELD AVENUE
PROCESSED BY : JULIE SFIt`'f.F.T'O
PRINTED BY : JULIE SHA , [.i
THANK
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SPECIAL CONDITION CHECKLIST
Project
Address: __ Project# Use:__._____
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp,Final Report _ __ _ ____ ___ _______
Hydrant( )
Lock Box
Engineer's RID/CRP _.___ _ _
Easements
Road Plans/Improvements
Bonds
Planning-__ Bonds-
Utilities _ Double Plumbing
ULID
Other v —
•
•
","'"'**** """'.'.«—***THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY 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:
Owner/contractor called regarding the return of plans: —__._—.____ _._________, Date:-_.-___________.__--..___.____.___.____
Plans returned: —._— Received by:
No response from owner/contractor-plans destroyed: