1991, 10-18 Permit: 91006976 Addition SPOKANE COUNTY DEPARTMENT OF BUILDINGS
Re1433tBROADWAY 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 re. . n.construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF / APPLICATION (�
OWNER OR AGENT ` � . `�� •Wit. DATE /� �'l ���
,.:R0s.Dt::.0:•T NUMBER 91006976 ..... ... .. '::';:j PERMIT DATE= 10/18/91 PAGE= ?:j1
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SITE�... I i•t:#::.#::. # .... 10101 •ta # .•i AVE -`7=t,:`•t'2. : „ 20541 -0622
ADDRESS= LPi.i#t.i•9t'#::. WA •.r•.;,,,^!y,:;
PERMIT USE= RESIDENCE BEDROOM ADDITION
: PLATO= 00.1852 PLAT NAME= OPPORTUNITY(TR. 1 -142INC. 143-35
AREA= f.7": f 7 :,,.{.....r I`i i,D i-:h`T1-4:::: .... .. i?s', 4 t D
•`- OF BLDGS= 1 0 DWELLINGS= WATER t Df `.T ....
OWNER= .t?f-Y t...!'`;'f t"#-`L..1::.; ,,{ -,"i PHONE= 509'- ... .. 1585
STREET= 10101 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT
ON " : NAME=
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'K. i: PHONE NUMBER=
MBE : i ?T 926 » . . .
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BUILDING ::>{ # ;f :t ,. , ' ! i : Ni. s " E_ NA REAR= NA
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CONTRACTOR= G . M. Hi,1i-`K t.t'' PHONE= 509 926 2155
STREET= 1306 N LONG RD
ADDRESS= FeRFFNAnRF WA 990i6
NEW= REMODEL= ADDITION= A CHANGE #iF #,:
DWELL UNITS= # iJ t.:i.:I i r' I,_j •• BLDG `{--i t, i ::.. 12 STORIES=
i;Ii iJ i•, Zai ?t, {j x: :i :x: 'I :•'Q F.I .. 144 SPRINKLER=':j•t`v:: ,t'4
R#::.Q PARKING= O{•-t t•:1 t'$D i.,,t.:{I--:::: CRITICAL MAT= f•i
D t::.:::i.:t I t-' # t O t''1 GROUP TYPE S t:? FT VALUATION
ITEM ?i::.:.:t.:t•'..i.I'' I i.U E`,: QUANT.1. t •t t'-I::.I::. f..Y 1"t U!.i 1'd I
RESIDENTIAL VALUATION si ...00
, TATE SURCHARGE v
4.50
, COUNTY SURCHARGE 12, 96
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PAYMENT }ftClt ' wPAYMENT AMOUNTTOTAL i Ail... 111 tl••,.... ,00 TOTAL i f.:{t... {.:f..l.t.i,!:::: 98.46
PERMIT I {..I::.#.:: AMOUNT AMOUNT {.i..I. AMOUNT OWING
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PROCESSED BY : jOHN LARSON
PRINTED -;t 7` : .-t O 1.i N :...f,t R,*�O N
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