1991, 12-16 Permit: 91008629 Carport SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this pe it/ plication,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 Spo ne Cgiunty to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein an gree t, comply with same.All provisions of laws and or.inances governing this type of work will be complied with whether specified
herein or not.I understand t :t the issuance of this perm' plication and any subs-•.ent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or c ncel the provisions of any s • -or •cal la, -•r-tin• nstruction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructi.n.
SIGNATURE OF / 0019r APPLICATION %
OWNER OR AGENT DATE
PROJECT NUMBER= 91008629 ISSUED PERMIT
F :1 "I - DATE= t '• . '9 PAGE:
01
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SITE STREET= 4710 ,.t WOODRUFF RD t'". .#...:i.... 05442-0103
ADDRESS= SPOKANE ANE WA 99206 .. ...
PERMIT !.E,:>I::.:::: ATTACHED CARPORT
PLATO= 0020 87 PLAT NAME= PONDEROSA ACRES 5TH ADD
BLOCK= t...!.! I ••- ZONE= UR-3.5 .'I t .Y..... t...
AREA= 00000000 :(•i WIDTH= DEPTH= i•=,:!x,= P}l;t
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OWNER= {'•tf•'?r'Nt,::.t''•. , !.:#"tt.!!.:K PHONE=E:.:.:: _>tf, 924 0445
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STREET=t = .Y iI0 S WOODRUFF i;:?.)
ADDRESS= SPOKANE.~WA 99206
.
CONTACT
- NTfCNAME= ?AJ i ( _" ? x 1LI, PHONE
� ; E NUMBER=
509
9 �' . 0417
BUILDING SETBACKS : FRi T . 46+ t _^ -; 21 RIGHT= ryyI . REAR= 200f
*i+:i+i it'i!'i++i'ii'.t.....N•i..•ii•.). .•i+i'i.. 'ii..i+:. .........Jk BUILDING F'E..P M;:T **•it:;4**it•*•Ai. :>'...'..7+r..$1 14 i4'k••Jh 9!•9k't+i 9{•il'•Ni*
CONTRACTOR= CL UGHI N ! ON : 1RU! '' ON PHONE= ''D0! 927 0417
STREET=E::E T= 4 ,: "i WOODRUFF I;'I)
ADDRESS= SPOKANE WA 99206
REMODEL= AD J ON= X CHANGE OF USE=
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REQ PARKING= 4HANDICAP= CRITICAL MAT= t'•t
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DESCRIPTION , E I t P EQ FT VALUATION ,
CARPORT M-1 VN 6 4:312,00 -
ITEM
DESCRIPTION QUANTITY FEE:. AMOUNT
RES
MOUN#-
RESIDENTIAL.. VALUATION 72,00
STATE SURCHA'AE' .GE'. .ti ;0
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PAYMENT DATE #•i t:.!.:I::..l.
t :k. PAYMENT AMOUNT
12/16/91 ,.45:- 88,02 '
t !_+ # AL.. DUE= :.00 TOTAL I::'t-?I ,i= 88,02
PERMIT ( 'rPE:. i•E:E:. AMOUNT AMOUNT PAID AMOUNT( WING
:,.U.t:LD:[N(; PERMIT so.02 18
t o2 8 ,02 .:00
BUILDING
88A2 89 ,02 .00
PROCESSED BY : tilt.. t,r:. SHATTO
.SY : i RSON
PRINTED .!: JOHN#'1#'` #. f�l e'i,3
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SPECIAL CONDITION CHECKLIST
Project Project# Use: _ --
Address: — — — — —
Init: Appr:
Dept: Date: Condition: (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 OF OCCUPANCY ONLY'•""'""'
Date received for 0/0 processing: ___._ --
. Plans pulled for final processing: ---------------�----
Temporary 0/0 issued: ... --
.Certificate of Occupancy issued: -----
Office file review by: Date:
Filed insp finaled by: _ -------------- _-___—
—.Date: -__----------
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans.____ --__----
—_____-----. Date:___-----------------_--------------___
Plans returned: -_.____._________—_-_--__---- —--
. Received by:_ ______ �_---___�_--------.-----------
No response from owner/contractor-plans destroyed:_ .-_----
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