1991, 10-28 Permit: 91007182 Residence SPOKANE COUNTY DEPARYMENT 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION ��
OWNER OR AGENT DATE 2 pI
PROJECT NUMBER= 91007182 ISSUED PERMIT DATE= 10/28/91 PAGE= :j'i
J`1?•F•9':9?•**.1+:)k h:•it•*•it•9f•7t•9+:)i:•)l 9:-:+4• :•*)t•*it•h-)f• ._ ::•t•T •r, .. .-.:r.•,_. ....
.:t::.'�:!"!.!. .t.!,,..t.. '�!";[-1 1 .f.i!i• it*•ii*i?•iE•M::tt•**r:*•1;•N•ii-r-i?•**r:*:!--??-*:+?-:+?•*.1,.
SITESTREET= 13114 t:.. d t•i!...L_E 7r W f•1 art (-s 5r t:. P f:j R i,';j.:I .. 15544-161
ADDRESS= SPOKANE toi c 99216
PERMIT USE= ,t,••t`Jc : .... NATURAL
PLATO= 004046 PLAT NAME= ::»'•--;hd4'i
BLOCK= LOT= 3 ZONE= UR-3.5 DIST4= F
At"•:t::.f.i:e: I.. ,,I•,:::: I.. txt.I.ft I r'i:::: • t
... WATER DEPTH=
t " ; , : : C
•e• ?" IttJ .Y;S : ?�EIJ � r: i /1 _- : VERA
OWNER= L . -rSOrREMODELING P"iE 509 922 3130
STREET= 4108 tS MCDONALD LN
ADDRESS= SPOKANE WA 99206
CCii\t±'ACT NAi"tE:::: B EN T PETERSON F:::.#Oi.F::
�"J' : R509
.
. t _
BUILDING SETBACKS : FRONT= 75 LEFT- RIGHT= % REAR= 39
� nntx7Rn' rii0chii } Nk* { tjRhj ;jtynBUILDING PER" Ir ri * r : {) ifk* :rctriii : it * :Nf
y jN
CONTRACTOR= PETERSON 1::.r::,ON RE"2ODE1_.INix I..=i-i3ONE:::. ... .:.>' 922 3130
0
STREET== 41 o8 s MC.:IiONAL..D? LN
ADDRESS=S:::: SF'OK t NI". WA 99216
NEW= X FsEMtODEL..:::: ADDITION= CHANGE . ,.-,,.......
STORIES=
BLDG 1i 'c 1; .» X ytt, F--I':..- .....; :s-i .3F'F!1i:tt,.i I:.F =• i`:
REQ PARKING= .r•.'..»t!'.:.•_ f..t I-t:::: CRITICAL MAT= !•:,,
DESCRIPTION GROUP TYPE , t, FT VALUATION
BASEMENT uR. »... a 1092
r; rtrY } : k0
GARAGE M-1 e.7 , , :. 4::Ai•::?:.!�t!:j
i•sI::.. DENi_:E R-3 VN i i9 E960_ .j0
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION v.'
531 ,50
, , „
STATE SURCHARGE ( 45=
•.: c:E r•.,
:�•1±-u:•i+:x x••?r J�7+j•k:••h•�•it••nj rp:3+;#0+i i!.A..j(:N.hi.j±':#?:r:-'1+:i{�-�><;3E !"!F:.i.:t'•i�a i-•-,t,1.�..('•?1... #�'#::.r;?"!.I. I :,,:a:it;e..?±•*->•:-?F-n:-i+;**i+;;+i•Hi•ii-l+:*i+;i++:..j,;..y,,.j;..j,..j},.j,,
CONTRACTOR= ALPHA...PLUMBING & HEATING PHONE= 509 535 1172. i
:• ji:;::"I.. ?'} t 1,::r .. SHARP AVE
F:.
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE .,:::••,t:,•,•
G s WATER HEATER t 10,00
0
GAS HTG •••t+t} I i»'< ; 00, 000>2't ! i i 12 .00
GAS PIPING 2.. 2»00
,.i t j k! f 1 1 1• ? f, N 4 9 ?L N 3+ t+ 1 9 *t ?t 7 1 t 1 t•`i,,,;.?!"!1;.I t`J t,;: pERmIT .Y-9k 1N•t+:N-Jt.!!••1+:•)!•)`•'t'•F-9k 9L P••ii•Jt Jl-F:i:•)t-1"•i>•9t•*7:•}L•7?•j};:k
CONTRACTOR= ALPHA PLUMBING !, HEATING PI-4;:.i!'`)!:::::. ?•:f:? t.!...Li ,. I....
STREET= 5805 I::. SHARP a:E s:E
ADDRESS= SPOKANE WA 99212...
ITEM Et"# t1t::. ?L.:r I. . IOtt QUANTITY -EI... AMOUNT
TOILETS ;, ; r•. r•,;j
i.i:IIr.. 1t,
6,00
KITCHEN SINKS 1 o„ 00
iii I't W Ixt E F'I I::.I';::?' ir't . :C;j
CLOi T HES WASHER .I ..��.,j
-- -
.
i
1
l / -.� � �/SPOKANE COUNTY ��EPART��ENT ��F BUILDINGS
. �
�—` //�r W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
his /vu n vno tate that the information contained in it and submitted by me or my agent to compile said permit/application/ot,uo
pokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
d agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
It the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
cel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
•
- 0 - 28 -91 /.� APPLICATION
6. 470' /' _--, �v— ~^- DATE
/p� 2i~,
/
) 7 * * 616.54
` 5 * * 450
l8 * * 7d0O
l3 * * 60.00
O
* 7 � i
' " ~ O" '8 ,R= 910071d2 ISSUED PERMIT DATE= 10/28/91 PAGE= 01
O
* 7 � � �
. " . O" ' u
F)***************B * aUo v*************** PERMIT INFORMATION *****************ww**w**w***
802, 4 � T= i3114 E VALLEYWAY AVE PARCEL4= 15544-1613
ADDRESS= SPOKANE WA 99216
PERMIT USE RESIDENCE - NATURAL GAS
PLATO= 004046 PLAT NAME= %P-341
BLOCK= LOT= 3 ZONE= UR-3°5 DI%TO= F
AREA= F/A= F WIDTH= 78 DEPTH= 90 R/W= 40
0 OF BLDG%= 0 DWELLINGS= i WATER DIST = VERA
OWNER= PETERSON REMODELING PHONE= 509 922 3130
STREET= 4108 S MCDONALD LN
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BRENT PETERSON PHONE NUMBER= 509 922 3130
BUILDING SETBACKS : FRONT= 25 LEFT= 9 RIGHT= 5 REAR= 39
******************************* BUILDING PERMIT ****************************
CONTRACTOR= PETERSON REMODELINGPHONE= 509 922 3130
STREET= 4-108 ^ MCDONALD LN
' -� -u- =' -�'~-r-rr�, e,rr-� �r ~ ,�:-^ , `rn," . `" = , ^ • '
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= 2184 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N ,
DESCRIPTION GROUP TYPE SQ FT . VALUATION `
----------- ----- -~-- ----- ---------
BASEMENT U R-3 VN 1092 12012.00
GARAGE ~ M~i VN 572 4576.00 ,
RESIDENCE R-3 VN 1692 58968.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RESIDENTIAL VALUATION Y 531 ^50
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 85.04
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= ALPHA PLUMBING & HEATING PHONE= 509 535 0727
STREET= 5805 E %HARP AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------- ----------- -------- ----------
GAS WATER HEATER 1 0.�O
GA% HTG EQUIP< 100' 800>BTU � 2 �0
GAS PIPING 22^00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= ALPHA PLUMBING & HEATING PHONE= 509 535 0727
STREET= 5805 E SHARP AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
TOILETS 2 i2^00
SINKS 2 12.00
SHOWERS i 6.00
BATH TUBS i 6.00
KITCHEN SINKS i 6.00
DISH WASHERS j 6.00
CLOTHES WASHER i 6°00
FLOOR DRAINS I 6.0O
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 DATE
P r=,t.i••,I:••t. i N i±i"t!:t}::.p•,::::: t??.:j 7"! >_f:.. .t.,.. ,.:Li f::.i,i P F::.RMIT DATE= ? 0/20/91 j {:•?i.:r{::. !;?2
iE i!:ri i{*1{ai 3 vt :!i R *.ri. .3;..1;.i,•}!:i�tE r ie X*ii- `{:Y• -,t i i":,v� .. ...... ........
.}t {Y Y Y•'1!::�t ik ik)k it N•:.-1?-it Y?.•t'•9'••tt•9i•i!:)t-A=}?•t!:�i•'7i.!:.)''j;'t!:'F•
3..+ MENT 1 F Y T r.. I.j E: •.. .:!: �::A Y M}::.N T (-1 M 1.i.,. N !q
................................................
t :_ t A i. O t.!F:: :.0 E) i"O t {••t}_. r"f'I D.::: t 0 5 0
. �.•
}'`E:F";N't I T TYPE t"t::.r:. [•i e t 0 t.3 t'? F t-1?"t t...t.?I'`1. i PAID f•1}11..!t.?NT OWING
Bi3IF_.IfIN.G r'F:::I MIT 623 04 6 2.3 . ;:+ + 70_
t"1t::.i.Y'ifll?.!.C.:fit... PRMT �•�.%.4 0 24a!:i0 : ii')
i...i.iMr T Nrx PERMIT 60. oo 60,00 00
05..04 7 0!5.,0.4 .,00
i ' 0F.':EA
PROCESSED a. Y` : WENDE j1 F:"F..., tr t._'
Pt t IN t E D B Y : ,.f Ll L..1 E £'F"F A f O
: Rrhl C 4 R {Ph1 ! R •P: THANK
E! ( ; r ii u x 3rJ »*atPri rk aa ..
* i!: i!:.};.
C6 In why
-w X21/ 1 a//may4,47 to 7' - 17-.4 o a 0 .4172
/4.6.`", _ -fie ",,,, 1, 714.- a �� - � ,._.� 4474 a6
, Ss__ _ L-,...._fr.cr2 141.1a
),o0.
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SPOKANE COUNTY, PAYMENT VOUCHER NUMBER 131864
VEND
CODE Por-:71-) ' DATE 3/?'7/cam
AGENCY
NAME PETERSON RE ;ij-T^ , I NAME (ThE ?rGE Pt1T
AUDITORS STAMP
ADDRESS
+108 S. ",,,,cDONALD LANE ;`
u a(h e,L i t-
SPOKANE, r. [-•7 ;^ _ L. ni,i Etltiy�i 11..2.1..1, i,'
S =,r1Nvr1 1
n Irk, ,:'!rte'
,-„:07:1111tiff� p I II ,... . . ".1i I I -
ay ..�..
+ :.;-.",„.4.
�,i;�'. �� 1.a`?l IF !J PS � :i 113'1:6:
ACCOUNT DISTRIBUTION,ORIGINATING ENTITY (ALL VOUCHER TYPES) ❑ 1099 REQ'D ID#
UNE VENDOR ORGAN- SUB REV SUB JOB REPT BS DESCRIPTION AMOUNT
FUND AGENCY ACT OBJ
NO. INVOICE NUMBER RATION OBJ SOURCE REV NUMBER CATEG ACCT'
1 91-007182 406 030 :t E4: 2210 03 REE1J O 19.20
2 II C
0�406 ..4t.1., 2210 07 I, 181
. '
„a ,
3 N20 675 s7 ,, 4,50
4 ( 11" 406 030 00082210 02 II 493.3 [2
`5, 91-00 7136 " 11 II 11 II li 8.00 J01.23
6 11/ 401 436 MOO 4241 II 32.1 ?
DETAIL DESCRIPTION
1 - S ?ESS ON PE?``•1TTS #931-12771'' 91-M71<26 fIOR 13114 EAST 'dAt LE-Y4E Ate„ I, the undersigned do hereby TOTAL ;704.93
PROJECT LANCE ED PE/ COPIES CF PERMITS & L.tTTE2 ATTACHED certify under penalty of perjury
that sufficient funds have been
1 $ 24.00 X 8O3 = $ 19.20 #91-007182 BLDG PERMIT budgeted for this claim, the ma- TRAVEL CERTIFICATION
2 $ 60.00 X ( ' _ 18.00 11 terials have been furnished, ser- I hereby certify under penalty of perjury
$ 4.50 X 100% = 4.50 If vices rendered or labor performed that this is a true and correct claim for
4 as described herein or contracted necessary expenses incurred by me and I
$ 15•.4 ` _ 493.23 II for, that the claim is a just, due that no payment has been received by me
5 S 10.M X 80 - 8.00 #9l-0131 SEWER PES"TT and unpaid obligation against on account thereof.
h $ 18.09 X 80% _ 32.00 `I Spokane County or fund agency SIGNED
TOTAL $604.93 indicated above, that I am autho-
rized to authenticate and certify TITLE
INTRA-GOVERNMENTAL VOUCHER to said claim. DATE
SELLERS ACCOUNT DISTRIBUTION
EXAMINED and ALLOWED
FUND AGENCY t AN- sue ACTIVITY REVENUE JOB NUMBER sus RPT. RECEIVABLESOFFSET i
`,
IZArIQN ORG SOURCE CATEG.
CERTIFICIATION DATE 19
SIGNED\\ ` -� ,,_ CHAIRMAN
SELLER CERTIFICATION
I,hereby certify that the materials have been furnished,the services SIGNED TITLE 0,7:ICE AIVINISTRATDR \ MEMBER
rendered or the labor performed as described herein or contracted TITLE
for,and that the claim is a just,due and unpaid obligation,and that 4-
I am authorized to authenticate and certify to said claim. DATE DATE /2a/9MEMBER
1