1991, 12-05 Permit: 91008381 Addition SPOKANEE'COUNTY DEPARTMENT OF BUILDINGS
1 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. n
SIGNATURE OF 0 Ain APPLICATION /` —o 5 '•�'/
OWNER OR AGENT i // / DATE ! L
PROJECT NUMBER=: 91008:381 ISSUED PERMIT DATE= 12/05/91 F.: i ;F:::::: i.,•;
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I"l.E•T INFORMATION F"til Ft I"I!�a T:E O d�.
SITE S TREE:T_. 1660E; E VALLEYWAY AVE i A F=:CE:1...::-: i :3544-062:3
ADDRESS= VERADAI._F WA 99037
PERMIT USE= RESIDENCE ADDITION -» KITCHEN
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE=E=:: UR_.. +. 5 J J:STS:_:
AREA= 00t 00000 F./A== F WIDTH= i.".? DEPTH=:: :300 F j"/ ,i:= 40
: OF T{I...C:)f.5.= j DWELLINGS= i WATER DIST = VERA
OWNER= PALMER, JEFF PHONE= 509 922 0024
STREET= 16605 €:: vn(...L E WFaY AVE
ADDRESS:::: V RADAI._E WA 9903•
CONTACT NAME=:: JEFF PALMER PHONE NUMBER=: 509 922 0024
BUILDING SETBACKS : FRONT= 50 LEFT= 9 RIGHT= EXIS REAR:::: 1004-
*******************************
00.x.*3ia 3h3'i3k3tri*.•u• 3t.#ak•..*3t•3iki**ri3{•***• BUIL»DING PERMIT •X b•*•3{•*• 3{•3!•3k 3i}i 3t•3{•3i••ii•3k 3i•A•:a.•**3i '>':3i•3':••a:3*
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= XCHANGE
GE OF USE=
DWELL UNITS= i (1(_CUE'r. LD:- BLDG HGT:= 40 STORIES=
BLDG W X (; = X SO FT= 6} ?`i SPRINKLER= N
REQ PARKING= : HANDICAP= CRITICAL MAT= 'j
DESCRIPTION GOP TYPE:: SQ FT VALUATION
RES ADD R—$ VN ,-)-)E-- 9225.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 117.00
STATE SURCHARGE )` 4:50
COUNTY SURCHARGE Y 18,.72
*3>:••k:••u•3i•*•**•3 : Yi*3<ie 3i•*h:•k 3i a 3i•ii 3i••**••**3f 3i P u J 1"I I{I N G F'E R M I T J+:***3i•*ri 3i•.)•1{)i*37:**3{.3{*')(31 3i'3k::3k A•A'34 3t••b:3i•
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
KITCHEN SINKS i 6.00
******************************* PAYMENT SUMMARY 1�'r-:Y l"I E"i� •r{•3'•*3t•***3;-*3h r•*3R••;>:•i'•3>:******N•ri*;{•,>:.3i.
PAYMENT DATE:: RECEIPT:": PAYMENT AMOUNT
12/05/91 'sr60 146.22
TOTAL DUE= ,00 TOTAL PAID:::: 146.22
PERMIT TYPE FEF: AMOUNT AMOUNT PA:1::o AMOUNT OWING=
BUILDING PERMIT 140.22 140. 22 .00
PLUMBING I1 G PER IT 6.00 6.00 „00
i46,22 146.22 ,00
PROCESSED jULIE SHA 1 T
PRINTED BY : :JULIE '•'F'1AT_E.i.
J!''P:.k•P:•P:*3{•***N:*•R•.A:R**3+:3i 3i••A:•A••F*3{3{••R*•F:R 3k h:• THANK Y 7!i i :n:***3•:••P:*3L P:•P:3t•*•A•3l•*3t••P:3k A:*3t:*3t-**P:P:*.P*3{••H:P:
SPECIAL CONDITION CHECKLIST
Project
•
Address: — _ Project#
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
• :. Lock B• ox
.
.
Engineer's RID/CRP
— Easements
Road Plans/Improvements
Bonds
Planning _ _ Bonds
•
Utilities Double Plumbing
ULID
•
Other —
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"***************************.***THIS SPACE FOR COMMERCIAL PLANSTRACKING,CERTIFICATE OF..00CUPANCY ONLY******************************
Date received for C/Orocessin
p 9; ._. 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 return of plansr_; .Date:.. ,
Plans returned: . Received by:
No response from owner/contractor-plans destroyed: — — --_