1992, 06-30 Permit: 91005595 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W: 1303 BROADWAY AVENUE
SP&'-ANE,WASHINGTON 99260
i (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 OWNER OR AGENT ' / �(1�I APPLICATION / (J�l v /) 2.
DATE (J "6
PROJECT NUMBER= 91005595 ISSUED PERMIT DATE= 06/30/92 PAGE= 01
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VAN SITE STREET= 4424 Sb1 F•i i`�? i"#rvf E',T E •: RD i !''A$':................. 44051 ,9166
ADDRESS= SPOKANE WA 99206
I''±::.RMI! USE:::: RESIDENCE .... Nr± ± URAL... GAS
PLATO=:"..... 00 :3! PLAT t NAME::. EP.. '±
BLOCK= LOT—
ffl±';E:.¢a:::; ��•,%{.`.�s:::: A,WIDTH= 123 DEPTH=
ilr : ,:
: OF ! ± ? v ". NDWELLINGS= ± ?a : ± . : COC WATER ± ±
: , 3A
OWNER= CAMERON , WSCOTT �=-�•j i..i l'a E::.°'• 509 928 2553
q
STREET- 1506 BLUFF {,R 0001
ADDRESS= SPOKANE WA 99206
CONTACT
NTi# • NAME= . SCOTT CAMERON PHONE ri � - . ir.. >,
' >'
BUILDING
SETBACKS : FRONT= 78
,. t . 440 RIGHT= 18 REAR= .. ...
***********************K******* BUILDING RE R m.. . •JF*H*if:9f:A:R•A:h:.j,.*•)C•)f:-A:P:•*'K-P:*:u: ,t,,.,;...f:
CONTRACTOR= OWNER PHONE—
NEW=
_•1..1 ....
P1@±::.ixl:c: ;t. REMODEL= r�f�,t%:. ± ;.i, i`.:::c CHANGE OFt.� _..
DWELL UNITS=,t,.... '± t?t.:C O#'`:. ±_.j}:::: BLDG ±"±G ± .... STORIES=
,• ,.
�-:I::.t>; PARKING= ;i�f'9 t-1�a D.±.1..:t.`f±•• CRITICAL MAT= I:i
DESCRIPTION GROUP TYPE :.:Q FT VALUATION
N
BASEMENT VN 1009 11099.00
!s(,t�:t�i?.vi:; M-11 VN 920 .!7t :i ?;if:i
RESIDENCE ;: ...7. VN 26D0 i .4,'i j 0 0.0°
ITEM E±"I DESi_: °;.I.I''1IiON QUANTITY FEE AMOUNT
1
RESID?ENTIAL. VALUATION `Y' 856.50
RESIDENTIAL
""(ATE:: SURCHARGE `.i 4 ,50
F ES.(DEN ± i,A±_. SURCHARGE tRCHARi.7E 1 Y f :.`.+ f .:0:i
'f t:t!•i�:P: :ji•1i••j¢. i{*)*- -x a•P:�N:N:'Jf:**)1•-P:-f�:9f:yf,•. •�{-P:-..a m E C::I'i i N I±,A i... F'i.:.r{M I, t )f:-A•N:'R'!k')f.••P:'X.*'F:'Jf:P:'.•.1C'Jl'1f:F: f:•N:R''P: i. f:1:
CONTRACTOR= UNKNOWN PHO E=
STREET= UNKNOWN
ADDRESS.. UNK NOWN WA UNKNOW J
:i: IEM DESCRIPTION QUANTITY FEE AMOUNT
GAS
HEATER
1000
GAS t'9 WIG t..i:.',t.!.l± < i t:?J! ta!:;t;1 :i" ± t- I -12:00
GAS PIPING 2 2.00
R) P*i1N4kt ) 9 ! E i ") } i99t H*9ki1PPLUMBING =; " " ± iai ! a Nt ti *i h M `3 ! lh ir*I .!..? r j )f;n
CONTRACTOR= UNKNOWN
STREET= i..iNI' Ni.WN
ADDRESS=ES ':::: UNKi'.}OWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
i:ILET,.. 18,00
SINKS 4 24.00
SHOWERS 1 6,00
BATH TUBS 12.00
DISH WASHERS i
GARBAGE D.t.S1-i..i,:rf±... 1 `00
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
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f 3•T i'!i:"N{ aD f:3 i !::. R E{.:t::..t.r.T;ii; t•'?.:i t M!::.N T AMOUNT
/30/92 5064 I I 18, 04
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F%:I L.D:i:NC_; PERMIT 998.04 998.04 . 00
1 I 18.04 1113.04 ..00
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