1991, 08-06 Permit: 91004787 Remodel SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY Ai*EN>
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 tha issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca el t e 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 constructio .
SIGNATURE OF APPLICATION /°J. j
OWNER OR AGENT j .A.t 4'L IP�� DATE
PROJECT NUMBER= 91004787 ISSUED PERMIT f• :ir3 ll:= 08/06/91 PAGE= 01
................ ._,...,.r.". ,_•,_.,A.,...r:.:
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SITE STREET=
r R E..E:. ± -• 1 t.z' " 1 E:. •4 .•. AVE .:,r••, n._.. 20552-0906
,.:... :.: _i�:}zi t I ��k+E:. t"f9I^;t.:l::.l...ir--
ADDRESS= GREENACRES fhtf:.I E:::' i,iA 99016
PERMIT USE= INTERIOR REMODEL
EL
P _ Y a : 003170 " .ANAME= `: .I : Y ADDITION
BLOCK= LOT= :Ia. . rrr - 4
DISTC
AREA= t , := r
WIDTH= 140 DEPTH= 30 ; R/:Air::
•f,• t•• 1'.l...... 1 . DWELLINGS=.. -± WATER DIST CONSOLIDATED .fir:R,I•., .r..•
OWNER= LOSH, BEN PHONE= ,::09 926 7954
STREET= 1882i i::: 4TH AVE
ADDRESS= t..RI'.E:.Nf3t.:RES WA 99016
CONTACT f l::.:::: BEN ±.....tSP! PHONE NUMBER= 509 r.;:j,< 7954
BUILDING SETBACKS : FRON.T:::: NA LEFT=:::: i•4(.:t I':EGPHT:::: NA REAR= ;•t,:,
•n:•,+:•,t•r:*i•:n:•n:*3{*ii p.*.;,•..;t..j{H.*.;1.*.u••N:•}t.*.}{••}i J{•*3i•* :i i_{...I...a},-N{.v I^'k:.±"•`i'?.I.••I• i+:***a-u:.}t.•i,:.a:*-}i•}i•}a•if;•;,; *•},:•n:*ii•N;,;,,,;,,,;,,,x.*
CONTRACTOR= OWNER PHOlNE::::
=
NEW= '�:.:. _...ft, Y. ADDITION= CHANGE OF USE=
DWELL ..Ir4.t. ! 1:::: t.!t.:t.: STORIES=
BLDG_r , D :::: X SQ Q I"•.1•::: SPRINKLER= {V
REQ PARKING-- 4i-If'1N JICAP:::: CRIT•.rf:AI... i"iAJ::- t•„
DESCRIPTION GOUP TYPE SQ FT VALUATION
REMODEL r.1....3 VN 2900,00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION .r 54 .00
STATE i E:: ,U I r�r I A R C:I. ,Y
4 ,50
COUNTY SURCHARGE Y 0 64
} ) i A t R d PP *} 3 } N (*PP@ {} t l$ RA hi} `fY "C ' SUMMARY 1RH*R k {K {PP4 { 4PP* k k Pk p *
ttLj {
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/06/91 5348 6?.. 1 .4
TOTAL
DUE 00 TOTPAID= 67. 14
PERMIT TYPE P'EE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 67. 14 67,: 1 .4 ,,00
67, 14
, •I4 'A}.., .. 1 •t , 00
PROCESSED
GLORIA
PRINTED BY : WENDEI... : GLORIA
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