1991, 07-03 Permit: 91003782 Residence SPOKANE COUNTY DEPARTMENT 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 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. /
SIGNATURE OF ‘,..„ APPLICATION
OWNER OR AGENT c-, Gi'e DATE_ �/
PRUjEUI NUMBER= Yi0OZS22 ISSUED PERMIT DATE= 07/03/91 }-'t•:;{,: ::`
***************K************ E#: dr.' _ ""r•R••i!••Pi•Ni•}�i'Ai'Pi-P:P:3t*•!{K**rF:!4''Pi**•Pi 9::*:ii*:n;
.... •.,!,!. ? .t•-t?••i..�I",?`?F:±-f �:#..:t. ..,
SITE :. . .':: : 3 n i ra = " - •s25542-0701
AjRt ` :aVFF " ftlF
WA `?'c?.?,
PERMIT USE= ! ?::.S .D :.NCE '-" NATURAL GAS
PLAT4= 0037-16 PLAT Ntt?"##::..._ ',•:.:i.Thi}.»}::.#''ffii`••i..i. .e.Y•{•;.: . j•-a%'1:3 1ST
;fj,_i,ii":;<•;:::: .' LOT= 1 ZONE=a:: i'Rt.. ? ?. .t.._" t n:..;, r-
Af"•:I.Ef••?= t.. A:=: E W T.D T H_= 125 D E P ? r.I=_ 1 i 5t=}:_: 50
f ..y.`.x�:-'"' _ 0DWELLINGS= ,•./
OWNER=. +t i,iF:,`F,t'F.' INC 'i_ii"i?`.:... i( ?' -. 1991
"
A n "h•E,S:::: S'I: 0 l<A d... `d A 99216
CONTACT NA}"t?::.::.. K?:.#•? } UP}-E,`. RHONE NUMBER= 509 920
1991
BUILDING SETBACKS : FRONT-, 35
LEFT= 37 RIGHT= :.L! REAR= .
: 7 7NF4 •.P.•" " k* k 79PJ4 ; f fik k P ¢; PG Ra4h BUILDING p E"N• t hik 99A ! d ? !9P
LSk v 1 fi1 'G e P !ii G
CONTRACTOR= TUPPER INC REALTORS PHONE= 509 922 1991
STREET= 12929 ESPRAGU_ AVE
ADDRESS= SPOKANE WA1 ,'..
EWa:: :x R?::.MODE?...:::: ADDITION= CHANGE i.#.:
UNITE= USE=
? .
DWELL it : 3� � : i _ BLDG i_ . STORIES=
".G W ,: ....
X SQ FT= 1209 SPRINKLER= N
Rt••,t:, PARKING= t ; h „ 1 t - CRITICAL MAT=
N
DESCRIPTION GROUP TYPE EQ ET VALUATION
BASEMENT U R-3 VN 1299 1169-1 ,00
ITEM E#'? ?i::.St.:R1t" ? Ic:iN QUANTITY #"EE AMOUNT I
RESIDENTIAL VALUATION Y 522 ,50
STATE SURCHARGE v
COUNTY SURCHARGE Y
....................*s(.. ....................
.t;._,.:;:. +•!?- ?•9,:9t:•!,:?L•-t?..P:?`4•.•:!L•:,b 9k i,::t,:'1,:?...,}.9;,9i•!b N•1L-9L•]'.•iE i,L= MECHANICAL ?"?::.i•y``"i t, ? i,+..****************** *****y:
CONTRACTOR= UNKNOWN PHONE=
ADDRESS= UNKNOWN U.if"t UNKNOWN
Nl:tlxij''v
ITEM DESCRIPTION QUANTITY F: E- }'±Mi i.. I'ds
GATS WATER HEATER I-:I' 10,00
rr r't' H`i•i", iii.i.., . ,:�i F;i !;�)i"i i;i i .•i.- 12.00
••fat 3 '.1.I-` i.?`%f_ 3 3,00
GAS LOG 1 10,00
, ..,L.. . .!., L ..:.:.:.•? 7 t; . . 4 t
.) 4L3 : sa,... ; : ;- PLUMBING � i " " t ii' r ! ***a ** n: u, ! ....:..;�9 ) .i ;..:!�..::,}:::k
CONTRACTOR= GOLD SEAL MECHANICAL INC PHONE= 509 535 5944
. : .
4 E BOONE AVE
" tD : v }. iC } " ?{ "
99212
ITEM
DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS - 00
t
BATH TUBS , 6,00
KITCHEN SINKS 1 6,00
t'
, DISH WASHERS CLOTHES E... wA: HI::.1 ,,:5' ( 0
•
SPECIAL CONDITION CHECKLIST
Project
Address: —._ —_ Project#_ Use:
Dept: Date: Condition: !nit: 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
*"""****""**"""*********"***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:_ _
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that#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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
."/'
SIGNATURE OF APPLICATION
OWNER OR AGENT /� � - 7�c DATE /�J
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