1991, 06-05 Permit: 91003029 Residence 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 OFA APPLICATION �}/
OWNER OR AGENT I�i� i�E' "' 1��25W4 L — DATE �—� </
PROJECT NUMBER= UED PERMIT •{ 06/05/91 s•,r
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SITE STREET= 427 E WARREN RD PARCEL4= 27542-0603
AnDRESE= VERADALE WA 99077
PERMIT USE= REEIDENCE
PLAT
PLATO= 002505
LOT= ,
4 OF z•.,
DGE= 4 DWELLINGS= WATER DIST =; VERA
ADDRESS= VERADALE WA 99037
BUILDING ?::i:. ::.i F•'i i..,.,:.. FRONT={'i.. 30 LEFT= 20 RIGHT= •{r, REAR=
':?'::4k:k;?•4k 9,;y!;;?'.}M1 •'f::.:!i•9!:9k::3k A•!,1.•,!..2 P.,.:,!:P:'i::* BUILDINGPERMIT 'ji•$fi'Hi'j!r'j!i•Pi•j4 3{.:i t„al.*:..jk.:..j(.: *: .!$..,.
CONTRACTOR= .::: ! <.fa!?Yi...'; CONSTRUCTION PHONE= ...
09 684 3253
STREET= 885 ORIN RICE RD _
ADDRESS= COLVILLE WA 99114
x.+z.:{Pi y iii 'L df: -_ ;'-. SQ t.. r 074 SP .{.is=4K e...;_,R=
f', t'' i.:,!{'..'sl.Ll'!l..Y:.. !r'i"!fi{'d Li.{....I,ICRITICAL MAI =u
L.N E. t.:?.i I)L.:::: ,i{!:;L.+-, ,'.+... . ?•? .! { ! TY= VERA
"DESCRIPTION t, R i t, 'P TYPE SQ FT VALUATION
d:sf"i'SI:..?'ti' int {. '` ,•, 710. ;;•' %i+3 ,
00
.I. I t::.M- E.)E E C I .I.t' ! .I.;.i{'e ?;t:=f"?#'. :. : ,
RESIDENTIAL VALUATION. \.,
STATE :t•UR?,I"li'7I'4}..Y=:. ; }
COUNTY SURCHARGE Y
.!;..;;..k.:_:-A•:4''A'-�i;3 i?..A..i!:iiir i:'ji'*i=:•X•1.jai,-..,a•::•R••R.....R .......... .... .... .... ... PERMIT
i,i P ,4 P F...j?i. ,?i?t.„"S?A A A it.?1?1.1?R
CONTRACTOR= BARTON HEATING 1.Y A/C INC PHONE= 509 922 5000
ADDRESS= ;:'PfiVt:;x4l::' WA !,rt,,,;r,`;;_,
ITEM DESCRIPTION QUANTITY F"t: AMOUNT
.'r A:3, I4 A I t::. L #"i I::.:::i.., _ `{
10,00
!.Y A:_ H r ix
I' 11, .i., . '1 i-:j!. !1'i:!i.. t:` ._ '':
HEAT PUMP 0-3 TONS . 1 12,00
:... ,. .. . .. .,. .........,. . . j ?. *: $ : •r m ti :. PERMIT i p al) ;. jij ± }9iP :y : c
ijj •ir r R: ;!?• ;
• ADDRESS= SPOKANE WA 99206 ..
ITEM DESCRIPTION ...__ _ QUANTITY F _E AMOUNT
T0 T }
.
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
-- Special lnsp.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 0pOCCUPANCY ONLY~`^^`~^~^^^~^`^'~~~^`````'
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: _ . Dote.
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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91003029 " IEEUED PERMIT DATE= 06/05/91 PAGE—
........ .. .... .. ........ ...... ....t::i.:'.:i.:.:'. i.:�.:!j.:,j..ie.:s..ij..i{..' i}::'. ::!y::!{.:,r.:I•:!!::•!:.1,..:!:'r:'il':!/'il:'i.,.i!..
;a:4k'1t'�•Sk'7::','1;40 A'P:�:-t!:yk..�..F';�;:,'Sc':_:•,k•S!:'r:'A'F.'.:•' S{-1•. ti�Y.')!r ;'i`+' :., •.. 'i 7`!i;••t i�; ':+::!b;.....,. :. .. A,.Sl'P.....,.!
PAYMENT DATE RECEIPT:I!: PAYMEN7 AMOUNT
06/05/91 ..: 'v6: - 650.52
TOTAL DUE= ,.::. TOTAL PAID= 650,52
PERMIT TYPE e !... ;..i::.r::. AMOUNT AMOUNT PAID AMOUNT i(iNOWING
BUILDING PERMIT 1537.52 5,5 .„5:2
MECHANICAL I-i„,,I,�',- t¢ i . C:'!;=} 47 .00 rj;.
PLUMBING .'i_.i',i't a. . 66,00 - ,. :'S 0
650, 52 650 ,52 . 00
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