1990, 02-05 Permit: 90000434 Additional Fee SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AMENUE
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
I 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 orcanc he provisions f any state or local law re! :ting construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OFi / - / APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90000434 DATE= O2F /90 PAGE= Gi) , 5
**************************** PERMIT INFORMATION ****************************
SITE STREET= 18914 F 4TH AVE PARCEL..*= 20552-0229
ADDRESS= GREENACRES WA 9901 6
PERMIT USE= FIRE DAMAGE: REPAIR -- ADDIT.T.ONAL.. FEE FOR PROJECT 89005166
PLATO= 000498 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= I...OT= ZONE= AGRI DIST*= G
AREA= F/A= F WIDTH= 120 DEPTH= 250 R/W= 40
4 OF BLDGS= 4 DWELLINGS= i
OWNER= RIZZUTO, LOUIS PHONE
STREET= 18914 F 4TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= RANDY RUMISER PHONE NUMBER= 509 484 4090
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING: PERMIT ****************************
CONTRACTOR= NOR-WEST CONSTRUCTION PHONE= 509 484 4090
STREET= BOX 11873
ADDRESS= `.,,..„"''.r^,`tE WA 9921 1
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG NGT= STORIES=
BLDG W X D = X SQ FT=
REQ PARKING= 4HANDICAP= SEWER= N HYDRANT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL.. R--3 VN _ _. ._. 25000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 252.00
STATE: SURCHARGE Y 4.50
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RE.CEIPT4 PAYMENT AMOUNT
02/05/90 566 256.50
------------
TOTAL DUE= .00 TOTAL PAID= 256.50
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
BUILDING PERMIT 256.50 256.50 .00
--- 256.50 256.50 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
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