1991, 11-14 Permit: 91007849 RemodelSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 9303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 /I APPLICATION
OWNER OR AGEN�� r DATE
PROJECT NUMBER= 94007849 ISSUEI) PERMIT DATE= 11/14/91 WAGE= 01
�t�tat�e* PERMIT INFORMATION
SITE STREET= 50203 E. VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
PARCEL*= 17544--2208
PERMIT USE= BASEMENT REMODEL -- BATHROOM, UTILITY ROOM, FAMILY ROOT, & DE=
PLATO= 0011354 PLAT NAME= OPPORTUNITY PLAT 3
BLOCK= 2 LOT= 6 7.ONE= UR 3.5 DISTO= E
REA= 1=/A= WIDTH= DEPTH= R/W=
0 OF B DGS= 2 4 DWELLINGS= i WATER DIST = MODERN
OWNER= SIMNIONIW, DAN PHONE= 509 924 8450
STREET= 10203 E VALLEYWAY AVE.
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAN SIMNIONIW PHONE NUMBER= 509 924 8410
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
BUILDING PERMIT
CONTRACTOR= OWNER
NEW= REMODEL= X
DWELL UNITS= i OCCUP. LD=
BLDG W X D = X SQ FT=
REQ PARKING= *HANDICAP=
DESCRIPTION GROUP TYPE:
REMODEL R-3 VN
ITEM DESCRIPTION
-------------------------
RESIDENTIAL
__ ___._.-..._...__....____RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
PHONE=
ADDITION= CHANGE OF USE=
BLDG HGT- STORIES= -
SPRINKLER= N
CRITICAL MAT= N
SG FT
QUANTITY
Y
`t'
Y
VALUATION
i00000
FEE AMOUNT
------------
35.00
4.50
5.60
MECHANICAL PERMIT"
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
WCIODSTCIVE"..!INSEF'tT�_.___.._......_.._ .____.._.._..i_.. 2eS.00
PLUMBING PERMIT
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 16.00
SINKS 2 12.00
SHOWERS i 6.00
UTILITY SINKS 1 6.00
PAYMENT SUMMARY
PAYMENT DATE:
RECEIPT*
PAYMENT AMOUNT
ii/i4/9i
8685
i00.i0
TOTAL. DUE=
.00
TOTAL PAID=
~— Y___ -
i 00. i 0
PERMIT TYPE: FEE.:
AMOUNT
AMOUNT PAID
AMOUNT OWING
__
I:�l1It..I)I:NG PERMITPERMIT__._._.��—}
A.� � _._.-..___--45.
i 0 ._
..__.._._ _..-..-00
MECHANICAL PRMT
25.00
25.00
.00
PLUMBING PERMIT
30.00
30.00
.00
_ _ ._ __ _..._
_
f ti 0 . i 0
_ _.. _ -.. _ i 0 0 : i Rif
,00
ikitirit#it�i•it#ai•A•��-##3r�i#�{•#it it it it it it�ritiritit3r•kat#�t�rititit#mit•kitii3t3t�i�•ii•mit#�tit�t�itit#kit3i•it9i•�•ii-#it •k#ita•��
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WOOI)STOVE TO BE INS�'IF.�It�1� 66M-Di`ffff&UE
PRO(rESSED BY: JULIE SHATTO SPOKANE, WASHINGTON 99260
PRINTED BY: JUL.I:E: SHtt fTO (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
OWNER OR AGENT
APPLICATION
DATE
PROJECT NUMBER= 9100 849 ISEUEI) PERMIT I)AI*E-: ii.'i4/91 PAGE= 02
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