1987, 07-13 Permit: 87002150 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I haexaminedthis permit and state that the information contained In It and submitted by me or my agent to compile said permit is true and correct. 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 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 ' ' ns of ny state or local laws regulating construction.
SIGNATURE 'F
OWNER OR A6IFEL
APPLICATION
DATE
AP
PROJECT NUMBER= 87002150 DATE= 07/13/A7 PAGE== 01
**************o************ PERMIT INFORMATION *****************%•***•4*****•*
SITE STREET= 11902 E 4TH AVE PARCELt= 21541-1306
ADDRESS= SPOKANE WA 992Q6
PERMIT (JSE= RESIDENCE ADDITION -BEDROOM
PLATO= 001839 PLAT NAME OPP.TR. 1-354
BLOCK= LOT= ZONE= AGSUB D:ESTv== F
AREA= 00000000 F/A= F WIDTH= 66 DEPTH= 310 R/W
OF BLDGS= '2 0 DWELLINGS= 1
OWNER= CHAMPION, KAY
STREET= 11902 E 4TH AVE
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= OWNER PHONE NUMBER= 509-926-8181
BUILDING SETBACKS: FRONT= LEFT= RIGHT= REAR=
******************************* BUILDING PERMIT ***************************'*
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D= 8 X 18 ,SQ FT= 144
REQ PARKING= OHANDICAP'= SEWER= N HYDRANT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R--3 VN 144 3888.00
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
QUANTITY FEE AMOUNT
Y •63.00
Y 3.50
*********•********************** PAYMENT SUMMARY *********•*******************
PAYMENT DATE RECEIPT: PAYMENT' AMOUNT
0.7/13/87 2698 66.50
TOTAL DUE== .00 TOTAL PAID= 66.50
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 66.5,0 66.50 .00
66.50 66.50 .00
PROCESSED BY: MASCARDO, GODOLFIN
******************************** THANK YOU'*******************••tt••>E************
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