1991, 07-19 Permit: 91003927 MH SPOKANE COUNTY"DEPARTMENT OF BUILDINGS
W. 1303. ROADWAY 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 �j y� APPLICATION
OWNER OR AGENT p "'`u /�� ���1 DATE ��j /7
PROJECT I'?L.:!"{i:5t::.!',;:::. 91003927 ISSUED PERMIT ;r•:; I E-. 07/19 L A G j:_._:: +t)'t
1}::'?J:'is'J:):)'*is *):i?•:k ji.i`.is i?':::"::::***1:)}..JF. PERmIT INFORMATION ziir'?*ai *xyr *i ; Fj ; . . ur :. . iSITE STREET= 809 a'r WILLAMETTE :ti I '`i?I•....,.. _...i,...« 2797.7,.... 4202
ADDRESS= SPOKANE WA ? ik:.. : ....
::. HIM..• :LiI•si j• txt ,. r^til: .�.: jf i i'
.I. t t.1,.. ... ..:........... .. .t.''{.:. .... .... t~.... ! t Y t•�t I"T f' Y
{,. i.:.
5 s: _w v r:::: 00353:3 PLAT
a NF "rx t
:t ! GROVE
AREA= !•:0is?iy J?:??,-J?,'0 I" :'f:+:::: p. WIDTH= f 0 DEPTH= 127 R/W=::: 0
n DIET 0 :,F.. r;t tJt:r::•:.: -t DWELLINGS= 4 WATERl;:#:,: E':1t ..ar'#I t F:
OWNER= MUNSTEDT, DONALD A PHONE= 509 534 7042
'T#'Ci::.#.T:::: t i .} 9'ii_,It:.i.NNOi`•: R D
SPOKANE WA 99212
CONTACT NAME= DONALD {"it,IN 3 C:D { PHONE NUMBER= 509 5347042
BUILDING SETBACKS : FRONT= 30:J LEI" t «., 5 RIGHT= 5 REAR= 2
§****************************** B I _ 3 •t PERMIT y*3 *: **e* . .*i .* . tA1 *.Pi .* .:
CONTRACTOR= OWNER PHONE=
NEW= ,t: t•:t::mil,I J t F....... ADDITION= CHANGE
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_ • ` y . :
.
DWELL iII ; om . I , : # taBLDG -% w: STORIES=
BLDG x X U . : , >}
{.. I .... SPRINKLER= jv
t'C,::.I;1 PARKING= :i;:1«I t•;i'@ 3?.t.t..,f»l t-':::: CRITICAL MAT= i`v
DESCRIPTION GROUP I T!' I::. EQ FT VALUATION
GARAGE {.{.... ? VN 1280 8960.00
ITEM ?.?I::.,`:t..:t:.#.#" t t„t ttf QUANTITY FEE E f iMt.?..?N j
RESIDENTIAL ; ; ! I . , N 108, 00
: , P :r R : i2 ?R ih{ PaiF ir 4lPRMOBILE 1Y "E FE4" , N
; k% P 1 ) Rt. neJ : 4 Kr J ! 1 . RRA
k l:
CONTRACTOR= OWNER PHONE=
1991 MODEL= GREEN I- t'N i" 1
3.r
,.:t::.t';.t.t••:t...:i,..... .:? .t?T 3••3.... 26 t...E'1.41.; t .',.... 40 I"?::.t.t.Y IA T= 10
ITEM S?t::.,::c t"•:!.i'' t I(,i rN QUANTITY r'I::.t... AMOUNT
INEPECTION FEE 2 100, 00
T fni T E Eli R i:::#^'J f'i t',I.Y I 'v,' 4 . 50
COUNTY :.•UP{1.,1'9fiI"•.1sk:. T • ,."3:.00
i 4 . . . k PJ : 99 * ; iiu9L sj *. ; . 7 . yjt PAYMENT
` r " a ° , ********************* **K***
PAYMENT T l ATE RECEIPT : PAYMENT AMOUNT
07/i9/91 �O860 223.50
,
TOTAL DUE= .00
TOTAL PAID=
. 2jt. -.I PERMIT
_:.
I::„•
i ,:;.. t••t••t•• AMOUNT AMOUNT PAID AMOUNT ii ii'••;.i. _ilii_• •}I":
BUILDING PERMIT4. 08.00108.00 t:;+;;
MOBILE HOME PMT
120.50
120.50
I 228.50 228.50 .00
PROCESSED itT • :.3t..?I....LE ,`.•# f'; { tf"I
PRINTED .'i 5'( : FURRY, ,.iE!..t..
R:+.*:+.7?R.1+.P..t::K.::::t}?i+.1.Jt R R. :.t-.3.:.!...1.J•.J:!?J?:. THANK i'J1, 'i i.11.i '7F:P:1...r.9.;.......!.....J?i...J?..J.J.J.J...*J.,.....Jt,.....1.
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# - Use:
Dept: Date: Condition: !nit: App,:
(in) (out)
Dept.ofBldgs.
Special lnsp.Final Report
Hydrant( )
--'
Lock Box
' -- +
•
Engineer's _- RID/CRP
Easements
Road Plans/Improvements
Bonds
_-.
' •
Planning _� -- Bonds • � � � •
"` ~`
-- ---
^
_- -
_- -
' --
-- ' .
Utilities -- Double Plumbing
^ -- UL|D
- -
- -- _- '
Other
•
•
' -
-- `
-- -
`^^^~`^^^`~~^~~`^~~**^~^`~~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE DpOCCUPANCY 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 inopfino|og by: Date: - ` � • � � ` .�
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plan _ oatm
Plans returned: Received by: ___No response from owner/contractor
wumop0000fmmo°ner/cuntmuto, plans destroyed: