1991, 12-06 Permit: 91008443 Remodel•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 Certif icates 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 7/�=—ate APPLICATION
OWNER OR AGENT �(/ DATE
PROJECT T• NLIrNF ER= 91 00844.
9/
1: E:UE:I: PERMIT DATE= 12/06/91 i Ai E__ 01
,(-:**********************3i: PERMIT L N E _{ ~"ti J RJ1i*lnAlNk i)?llt iY k i)t i N)it
'.i: -Ti::: STREET= 8622 E VALLEYWAY AVE: E'AR°C:E::I..O= 18544-12
ADDRESS= SPOKANE WA 99212
PERMIT U,sE:= RESIDENCE RE::MODEI...
PLATO= 001132 PLAT NAME= iAERI_N; foN ' S ADD. TfHU i
CHIN;C
N
i. _ _ LOT= ZONE= I;-3.5iO
-
AREA= E/A= EWIDTH= S DEPTH- ^,. 1F BLDGS=
w: DWELLINGS=
. v,+I...I...I...:lr.t, i WATER DIET
OWNER= :'E:.1...l._f NE,, ALBERT I..:I..lc:INE::-:: 509 924 4101
STREET= 8622 E '+;ral._i...EYI.•JAY AVE
r"tDDRESE=: ,•F'i: KANE:: WA 99212
CONTACT NAME= Al... F'l:::I...L..ANDPHONE NUMBER= 5 c< 924 4101BUTirFNrSETEA:KE:
F"RONT:::: NA LEFT- NA F-1°:i:(.Yi••H•i-:::: NA REAR= NA
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CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION=
:1t
1TION CHANGE
F EE=IWiilUNITE= OCCUP. L1:BLDG HYt i.,L_.-
BLDG xxD = < CO FT- SPRINKLER= N
REQ PARKING= OHANDrCAP= CRITICAL MAT= iJ
DESCRIPTION GROUP TYF:E:: ,'Q! FT VALUATION
REMODEL R-1 VNIN 3000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION `r' �:: 'f ,.. ,.i7 � ^,.
i
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE Y 8.6
ri'*n:•3,:'*:**-***•P:•p:*p:..*s:*.A••a•3 *r*.X.*i.'i.......... .,,:... •,,,•. ......
I" f9 7 I"I E:. N � J t.i I"I i"1 h1 F{: �T� 'N.• }:..ri• i4- �• -'u.• r: 'u: '}� ri. �X. •'a: i?- * re k• •h:• •Ni �+: •i.: ,r a: n• x' u: 'h: •i�:
PAYMENT DATE RF" F T.I: T 'A
.t:_
PAYMENT AMOUNT
12/06/91
9? 4 67.14
TOTAL DUE- .,; TOTAL PAID- 67.14
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 67.14 67.14 .00
67.14 6;' .1.4 ..00
PROCESSED BY: WENDEi_.: GLORIA.i:N'TrD BY: i. �E::iNDE::I..., GLORIA
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SPECIAL CONDITION CHECKLIST
Project
Address. Project # Use
Dept.
Dept. of Bldgs
Engineer's
Planning
Utilities
Other
Date:
• I}, •,
111! •€L,
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
• •• ."
FilP/PHP
Easements
Road Plans/Improvements
Bonds
•
•
Bonds
i
ri
! i A, ••. •)(••••,!.:•'.,
ULID
• ....1 ; • : ••
•
!nit:
(in)
Appr:
(out)
•
**"* ********* "*******—*** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFIWE OF OCCUP,ANCY ONLY
Date received for C/O processing:...........Pians pulled for final processing.
Certificate of Occupancy issued:
Temporary C/O 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: