1992, 02-06 Permit: 92000657 Addition V
SPOKANE COUNTY DrFAiitT ENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260 II
(509)456-3675
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/ plication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the p ions of any sta orloc I law regulating construction,or as a warranty of conformance with the provisions of any state or local
lawsting construction.
SIG /, ,7J
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
-Rfj # NUMBER= : : : l ;. ! i E ; -: _ » PERMIT ' ' t^..." .._ t.. ` ' }'... PAGE=r .= k ?
. ? rtP ? L rt) : ) iy ' t: : : ! , t L. ' : i: PERMIT
rr ` • tN"i1fI . ¢ .. P . , : . ! . . T .. . . 331 ...
P . ) 4. u ! i
STSIE SikEEI = 13621 3RD AVE PARCELO= 22541 -9i77
ADDRESS= WA 99216
PERMIT USE= t'•:....,::.L:.:!....,t.:.... ADDITION — STORAGE ONLY
i'?...f•"•'!"(•;,::c: 003222 PLAT NAME= SP-00i
AREA= 00000000?})0 ;•• /[:±:::: i.. 14 1.?i # E..#= 8.2. .i 1::.PT i..{:::: 134 t•+.: 50
....
4 #.!�' �!L..t)k:.,t,s:: :: .!!• DWELLINGS= ! WATER DIET ....
OWNER= HUNTER,
STREET= 13621 I::. 3RD t,N E::.
ADDRESS= SPOKANE i.:i t t 99216
CONTACT +NAf;I::.:::: RAY HUNTER
E : HONE NUMBER=::: 5!:} 1 924 8243
BUILDING SETBACKS : FRONT= 50 LEFT=•` RIGHT= if!•:! REAR= 50+
L: i ** : 5 : L: ii L iP :. : iPie *} ;: ") k} BUILDING . E " ' . # :ii:* **:***********************
CONTRACTOR= OWNER ;.:i..#t.!NI;:.::::
,
REMODEL= ADDITION= X CHANGE k.!i" U
DWELL UNITE= OCCUP , LD= BLDG HGT= STORIES=
REQ PARKING= i " " ?. iir : CRITICAL MAT=
N
DESCRIPTION GROUP TYPE •. ;,, FT VALUATION
STORAGE j:;......:i VN .}'t ....... .. is ir'}
T t`I !1t::.< I...I''; .t.: t .t.Ot'•, QUANTITY FEE AMOUNT
VALUATION
RESIDENTIAL .t; ...
5 . 00
STATE SURCHARGE 4: 50
COUNTY ,.} ,#Rt.:1"IAI"•:i";::.
••••.:':'..t'* i.:,i.:::,::::::*m i.::.i:.i•.::::' :i.:j.:_,:i.:}.:i.:i-K i.:, :i.*:i.:,i.:i-:,i.:t.:}•.:,,:ai.:,i.:'. :,6:vi-:,i.:}i.
}e;m;•Jl. P:A.:L•F.?+,-.P.rl. rt.?F.P.P.}•.:L rl..L P.1}.iG'i:r'.'ti'}}r:�}r"!r:}r'ter }'it• E•'{::{Y '71;;,i`• ..� `;�(,t E'I"![-'{i•t`: 1.1.).1.).!•.!.r.1. :$i!r 1.r. !. .. J. :. J..L:. r.r.A.:,..,. ,...
PAYMENT
g `EtrtFr . , ; v , P
. tPAYMENT
ft `C@i F " ^02/06/92 50 45 ,80
TOTAL t f.,...
!•'E•tMi f I Y E FEE AMOUNT AMOUNT PAID AMOUNT i`•i.. OWIN;
r•.
.. ...... .. ....................i-•i-::.:i-:'-:i.aa:a...:::•.• :t-:p.t.:t-:y.:i.:i.:,i.si.:,t-:,p:,i..}t.:i-:e::i-:::,.:.j,•.:t.x. -:,;.s:.:,i.:}t.::.: 'i.
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i. PROJECT NOTE : TOPIC .-.. CONDITIONS DEPT .... BUILDING 'gk
...... .... ...... .........:.........:'.:,'.:,i.\i.:i.::.n::i•.::-:n. '.:!i-:i-:,i.:i.nt.:}i.:.:K.:!.-,i.:,i.:,i..jt.:i.:,i. :,i.:}i.ni.:,i.:t.:t.:, '..ji.:,t.:,:: :6
:....................!-ri•'it g.-:-tr;t!: s°::!':9e:?'::+`.!L ):!::-.:L 3:r.?.h.Vii.il''il` f' }: i..it•k?.ir..i;..);r 9}r.Ji..)...ii..?... ?.:...1...!.r:......)... .... ..}.F.:L.?L.,..1.li').
RESIDENCE ADDITION ALREADY CONSTRUCTED .... SUBJECT t.! FIELD
REVIEW t'•'i,uJi:i APPROVAL
PROCESSED BY : ._jU Ii SHATTO
I
PRINTED BY : :.! ;`:.!I. # S i..1 t•:; , i i_i
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SAFECO SKETCH SHEET
INSUREDSURVEYED BY
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ADDRESS / DATE SURVEYED
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CITY STATE OR PROVINCE DATE REVISED
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OCCUPANCY LIST: List ALL occupants IN FIRE DIVISION, including Insured (use back for more than 4 occupants)
STREET NUMBER-FLOOR NAME OF OCCUPANT IISTREET NUMBER-FLOOR NAME OF OCCUPANT
ENG-711 R2 5/79 PRINTED IN U.S.A.