1991, 01-22 Permit: 91000214 RemodelSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKAfIE, 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 16Ws 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 orca !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 constructio
SIGNATURE OF f J APPLICATION
OWNER OR AGENT d is.�./' r ��✓L ��` DATE
F ROjE:i: { NUMBER= 91000214
DATE= 01/22/91 PAGE= R:;
ISSUED i.lED E}I:.fi'MI
4,-:**************************:* IEE1E TINFORMATION �(R"`th } i i:� * * e * r *ieh7iit r : J 4 F & 9r r r
,. 52 E:: ' tI ' AVE E`ARi'::E=:L_,_:::: f ,, .4- —1108
SITE STREET= _ � Y•� ,... l... i:::'r' ►�► r`� Y
ADDRESS= •rfkiNEWA 99206
PERMIT :.1.31::.::: CHANGE GARAGE INTO FAMILY 1•..)..1".
PLATO= .N.:::: l'}4!•1 ?:,:'?.? PLAT NAME= 1'`E''.. f R 1-354 ..
.l:;I...l)I:`i:,:::: ;,_("i'T'c:: .i:.(:1NI`.=. AlsSl..lX:: (J :I.,':,. _ :,,::::: i..
AREA= i0i(j_'a
E.i = = WIDTH= ; DEPTH= i94 :. ;
4 O f_)E= :
ir DWELLINGS= JNT,.
1 :;J
-�
PHONE=:: C) ? >x24 281 5
OWNER= i::i��f=tl'ir'�tiyi, DOUGLAS �—
STREET— :2 7 i": 'v AI...i...i::.'Y ie)F•tY AVE
ADDRESS= E::.:',:= SFiOKANE WA 992 06 q
CONTACT NAME= DOUGLAS GRAHAM E:` u.::INE: NUMBER= x;09-2.< '2815
BUILDING SI:::TrACK., : FRONT= NA LEFT= Ni RIGHT= NAR r'1I1::::: NA:.
•Pi*id-**iii***.)kfk•N•:}k?l•*:k*}::•Jk•R••H:•*Jt•7::•*4'Jt Mi-JtA BUILDING PERMIT 'h:*•*•H*•JY•P••h:-!t•*-Jt--Jf•9::i?•***•hi*•1::•A:*****-R*
CONTRACTOR= RA(_.T [1Es:::: t.tI,atJ::.R
PHONE=
NEW= REMODEL= X ADDITION= i';I.I(NGE:. OF USE=
DWELL
UNITS= '1 ((,.`.I;.UI_' 1...1J::: BLDG HGT= :::: \, T O•�R'EE:.. ``=
r./�i?::.I...I... lrt.l. 1 �� 1
; •
r" =
BLDG W X Ci = . , ' I:;t 1 SPRINKLER= } .
PLh PARKING= Ol .T-�"� : CRITICAL E'!1y!4= ?` .
DESCRIPTION GROUP TYPE E '
REMODEL R-3 VN
300.00
ITEM %ESfEI_tION QUANTITY " - EAMOUNT
--------- • .--- ----------
Rr.:SI.I)1 i:Al... VALUATION Y 35••00
STATE Si.1f'(^H(,",•IF.`I:ri::: 50
.
:;::-:: ;:: x * * 'ii' ;,: * :J; :,,_ a;..;* ik * * * * * * ii * PAYMENT ; i.1 M M A E :t• *if:**************************
PAYMENT DATE R:E lCEIP T O41X.P PAYMENT AMOUNT
01/22/91 279 45..10
TOTAL E .00 TOTAL PAIT):::: 45.10
PERMIT TYPE
------------
rtU:I:I...D:I.NI.:r PERMIT
ES1'•ti.T.
E'E'Era' MCIUN AMOUNT PAIDPAIDAMOUNT OWING
-------------
45.10 45.10 ,00
45.10 45.10 .00
PROCESSED tf Y : JOHN t._ r --t Et ,`r ..! N
PRINTED ...D .; : i OH" t A • ON
**********:k********************
THANK f 1.1 i.1 •it * 'J@ ie * a s?.:,,.*.n: •n: •)>:• •){• i:; ••t,: * 3r * .a..J,..r.:::::* -r: n: * * •n: 'x• x• •x *:?•
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use.
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init:
(in)
Appr:
(out)
"'"".,,*""""""'""'**" THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for CIO 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.