1991, 04-26 Permit: 91001937 Addition 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 canc the provisions.f 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 / N APPLICATION �/_
OWNER OR AGENT '" f DATE (y
PROJECT NUMBER=.. .{= 9 0{:t- `.>`3^!' ISSUED PERMIT C::At''•._: 04/2A/91 PAGE= 01
.ti.,.... ..,..w.,. ,..,C:F ,
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SITE STREET= '? :::::::=':• <i' ?±::.?'i E..•#...E '•' RD P f.:i :-:"...''L t}-'_: 22543-9095
ADDRESS= SPOKANE WA 992i6
PERMIT USE= . _ _t :rE RESIDENCE . : x C G- N BASEMENT W " S !3 ± # !
PLATO= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI
AREA= 0000 0000'lis (.j :: f t:a.}.}. I t+• i r} DEPTH= 145 !" W
•t± OF L..i:)G S= }f' :0 W E L?...I N C:r,,= 4 WATER Da.`t'i' .... MODERN
OWNER= ,#ORt_`; i NDONALD PHONE= 509 924 0059
STREET= 1224 S• VERCLER AVE
ADDRESS= SPOKANE WA
w 99:'j i
6
},1if.`.• ? NAME= . _!}'.f'.._.S. jORDIN PHONE REAR=
i.;}Vitt='.I'ti:::: ... 'r ':>'.;'s i:) 1 >'y
BUILDING SETBACKS : FRONT= LEFT= `I0 RIGHT= 25 1�Et:;R= wA
yNt R {s * :A* t***** l** trx*: n *: : nn ! BUILDING "; tr ? ************ ***********41.:**
CONTRACTOR= OWNER PHONE=
1l + . . REMODEL= ADDITION= CHANGE O_ #: _.
DWELL UNITE=; = } Oi,;t.:UP:. LD:::: BLDG HGT=:.. :Ti._iR't.E-:.,' ..
BLDG G w X it = t SQ FT= 87$ »'R I!N K;.L t.:R:::: u
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION(ON C::RiOUE:: 7•E".... SQ FT slyA'...:.:A . ... .iN
BASEMENT E::' R..:.:; VN 154 1694 . 00
8ff:1 E.MEN { :? /N fzz :'5;;x.3:.00
ES
5 :; 5• ±1 2 i 12 0 0 0
ITEM DESCRIPTION QUANTITY FEE AMUUNI}
RESIDENTIAL VALUATION :,i 284 ,50
SiAlE SURCHARGE 4 , 50
COUNTY t'•%'.,"' '-C.: RGA::. 45 , 52
i: J { i: C ) uCl TE lik Aitt Pl } * k* i SC1t H I :"t PERMIT v k :i : LSN'J5:*1hNPH:NJP *N *t
tJ *
CONTRACTOR= OlF } R
PHONE=
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ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS PIPING 1 ,00
******* *********K****:**** ' : # i : � } C . PERMIT;", gjt*3 t `9?-ii.. t: k.:, pp , Ja ** 9 : ! :y. i
CONTRACTOR= ##WNE::R PHONE=
=
PREVIOUS ADDRESS :
STREET= 3806 N SULLIVAN RD
ADDRESS= -_. i iKfAf i::. WA 9921 6
ITEM O
N QUANTITY FEE AMOUNT
RELOCATION INSPECTION 7 50,00
7,!,*t=.!,J,a A.,Y.*.,tt 1-.it tt•R 1t;S)±:3t'}¢)i;-T.•4' ?' !'iC•K t-`E...++'•h:k:4.}.N?.r PC:?':t;'? ,, i i`iE 7+i }•1!'7}•lE•;:•4`.'.i±:. :•:,i•} :•iq•1C'![•„r 9!}i±t.**j}.r,.:I;.j,:j{..j:.:t;..)C.
CONTRACTOR= OWNER PHONE=
ITEM M .,,.. •:t.:#'°: 2 ±-' ON QUANTITY , fi;"O U i I
TOILETS 1 N,00
SINKS 6. 00
SHOWERS 1 ... ..00
r'
SPECIAL CONDITION CHECKLIST
Project ` •
Address: Project# —_ Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
-- _ Hydrant( )
Lock Box
•
Engineer's___ _ _ RID/CRP
— _
Easements
Road Plans/Improvements
Bonds
Planning Bonds
Utilities _ Double Plumbing
ULID
Other
****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY******************************
Date received for C/O 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:
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
:.:l::.±_: ( NUMB 7::._' =: j}' . 0 0 ! 9 t ':H I.'`..% ...RMIT DATE i,.%..:f l`.:•...... .;) F.•A±._;w...... ':.!2
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,tir.{a , . 9 23.
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TOTAL 3 PAID= 40.p is
1"l::.!'{!"!.L ! ! T!''C:. ! L':.C:. AMOUNT AMOUNT PAID ral tt_±_.,! , OW -;•.±_>
BU I LD I NG 1.-1::.HM T 44.:..>2 33 4 52 },;y
f`.1::.._t_±?.:t± ! .l.t_:N PRMT s 0n 00 50:0i% . ::%o
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