1992, 10-12 Permit: 92008736 Remodel 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 cance a provisions of any tate 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 G b( /2 f;
PROjECT NUMBER=t'1.:5ER= 92.':08 ;36 ISSUED 'k:.1't'.!"I DATE= 10/12/92 p ic; ::. :: t,)
r r:x x» +:3+3+,i+.3i sr*r 3r* 3E 3i*»3i 3E 3t iA: *3E PERMIT INFORMATION 3E 3t 3e'*ii 3E 3E 3t 3i 3s i?*3'•'r•:ii 3?ii 3r 3t ii:u it 3r 3E if 3?
SITE STREET= 4718
.,1 {:S 4TH H A'Y V L:. F-AAi Pt i.:1::.1....l,:».. 35'23:2,9035
ADDRESS= SPOKANE WA 99212
PERMIT USE=L : N: hINSULATION, SP . : { t ; ; SIDING, " O. iY REMODEL i . :"1N
PLAT:M:::.. 999999
i 9 PI»AT NAME:::: RANGE
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9 : F I ; Ya : 0 DWELLINGS= WATER DiST :
OWNER= BR UN C A, MARK V PHONE= 509 448 5526
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STREET= PO BOX 13118
ADDRESS= SPOKANE. WA 99213
CONTACT NA!"!{::.:::: MARK B[i UNI,)Fj PHONE NUMBER=(':.1' =: .,09 448 _:>526
BUILDINGSETBACKS : i.=ROia•I:::: NA LEFT:::: NA RIGHT::: NA REAR= NA
3±•3+:'A.•3{.R•3{-•A:•J+:•3l 3+.•/+.3+.3+.3k•P:3<•t!•3i•*i?-1C?+:*H:i+:9t•3{•3R•9+.•P•14• BUILDING p t;;,t'?;t'1 3k 3{'3i:•3+:-N:'A:3l'3!:'A:'P:*3\•3H 3C•3k 9{•3?=lh 3!'1!'Jk ik?t•9+:9+:9+:•F+:3i.
CONTRACTOR= OWNER PHONE=
NI:::1.1= REMODEL= •.. ADDITION= CHANGE OF USE=
>.jtxti::.l._I... UNITS=:•.... •) Ot..:!.:I..!1— 1....t1"= BLDG HGT= STORIES=
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REQ PARKING= :t,'HA1N%)"s:ft I-'::: CR:%TICAL. MAT= N
DESCRIPTION ::f:::.st.:l,.I.�� ! a.t.!r� GROUPGROUPi�'�TYPE 1... ;`Q F'1 VALUATION
ITEM I:EM DL:.z:t.:R.L1- 1 !.ON QUANTITY 1-E 1::. AMOUNT
RESIDENTIAL VALUATION
STATE SURCHARGE Y 4.50
RESIDENTIAL :;'UR.CHARtxI• Y ! 04
.. .............y .. ...ti. r, 1 t1 NE• _••.E+•.: • • ..3 ..... 3 ..3 ............. ...
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CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
BATH TUBS :t . '-•'0
KITCHEN N w .I.NK:'. 6,00
.......... . . : ........ ...... . .
•!F'tt''.t••x'P:3!'3{•33•'P.T:'b.3?'3r)k 3l 3k 3+:3i•3k�+:••)L 3+.3+:'3t•3{•'lr.3+.'.+:14 3c 3{ E-'!�'t Y�i'1::.1'� Z �•=.J 1'!!"1 f i•�;; •a.3r 3i 3<•'a•3{:K 3�•�+:�+:�c•x•3{•3r:•n.34:n,r+:�?-n�t-3�•�+::�3i•3;..i,:.?{.
PAYMENT DA J E lilt.:1::..[I'•1 :e: PAYMENT AMOUNT
I
72 8853
101 „ 46
TOTAL "UE:::: ,00 TOTAL i'AIB:c: 101 ,46
PERMIT ..TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 89,46 89,46 „ 00
PLUMBING PERMIT 12,00
,00
101 ,46 40: „6 .00
PROCESSED BY : JULIE SHATTO
PRINTED ; : , ?t : 1
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