1992, 07-31 Permit: 92005940 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE I
' 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 regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF \/, „I_ APPLICATION 2 _g 1_92_
OWNER OR AGENT y �-!C/� DATE
PROJECT NUMBER= 92005940 ISSUED PERMIT DATE= 07/31 /92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 18505 E 4TH AVE. PARCEL*= 59191 .0508
ADDRESS= GREENACRES WA 99016
PERMIT USE= RESIDENCE W/GARAGE -- GAS (FIRE REPLACEMENT)
PLAT;= 000501 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= LOT= ZONE= SRR-5 DIST= G
AREA= F/A= F WIDTH= 319 DEPTH= 630 R/W:=
4 OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= SELLERS, JOHN H & VICKI PHONE= 509 928 6306
STREET= 18505 E 4TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= JOHN OR VICKI PHONE NUMBER= 509 928 6305
BUILDING SETBACKS : FRONT= 62 LEFT= 26 RIGHT= 26 REAR= 523
******************************* BUILDING PERMIT ****************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= I OCCUP. LD= BLDG HGT= 10 STORIES=
BLDG W X D = X SQ FT= 3549 SPRINKLER= N
REQ PARKING= *HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 413 4543.00
GARAGE M-i VN 600 4800.00
RESIDENCE R-3 VN 2723 147042.00
2ND FLOOR R-3 VN 413 11151 .00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 877.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 157.95
RADON MONITOR 1 19.43
SALES TAX 1 1 .55
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS WATER YHEATER___._-___._._._ __-__---i•- . 10.00
GAS HTG EQUIP+100, 000 BTU 1 15.00
GAS PIPING 5 5.00
GAS LOG 3 30.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 4 24.00
SINKS 4 24.00
SHOWERS12.00
BATH TUBS I 6.00
KITCHEN SINKS 1 6.00
DISH WASHERS 1 6.0E)
CLOTHES WASHER 1 6.00
UTILITY SINKS I 6.00
FLOOR DRAINS I 6.00
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 cancel the provisions of any state 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
PROJECT NUMBER= 92005940 ISSUED PERMIT DATE=- 07/3i /92 PAGE= 02
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
07/31 /92 6029 12-16.93
TOTAL. DUE= .00 TOTAL PAID= ___.._..1216.93
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 1060.93 1060.93 .00
MECHANICAL. PRMT 60.00 60.00 .00
PLUMBING PERMIT 96.00 96.00 .00
1216.93 1216.93 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
*********X*******4 ************** THANK YOU *********************************
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