1992, 12-15 Permit: 92010981 Remodel • 4.-
SPOKANE
.SPOKANE COUNTY DEPARTMEiNT OF BUILDING AND SAFETY
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 tha •-issuance of this permit application an.any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violateorc cel t'-provisionsofa y st e r local la r: ulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructi.n.
SIGNATURE OF �'I I) APPLICATION
OWNER OR AGENT �' DATE + L�
WIDTH—AO
j Nil PFRMTT DATEnt: 12 .115/ 1 PAGE= 01
PERT-1 1NrCJRATTON
SITE STREET- 16606 Wii:K AVE A 1:;.'
ADDRESS= SPOKANE WA 992i6
PERAIT USE= FINISH ROUGHED IN BATHROOM TN BASEMENT
PLATO= 00iF4'i PLAT NAME= OPPORTUNITY TERRACE
BLOCK= LOT= 9 ZONE.. :.;FR DISTO-
OWNER,,,,
N,_ VAN
ADDRESS= SPOKANE ,°t
CONTACT NAME- BILL PHONE NUMBER= 509 'C.ZY.P7
BUILDING SETBACKS : FRONT= NA LEI- i = NA RIGHT= NA REAR= NA
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CONTRACTOR= OWNER PHONE=
NEW= ADDITION= CHANGE OF
DEECRIFION i,HUUFVALUATION
-rt-
Ann 1000 , 00
ITEM DESCRIPTION f.:„1.UANTITY FFE AMOUNT
REEIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL. SURCHARGE
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