1991, 07-19 Permit: 91004311 Pole Bldg SPOKANE COUNTY DEPARTMENT OF BUILDINGS
1W.-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 OFAPPLICATION •
OWNER OR AGENT -2--e.i 1�-' �''" DATE �- / ,
PROJECT NUMBER= 91 004..','i i ISSUED ''I::.i';!"SIT DATE=i::.::: `: 'i ': .'9'i PAGE.
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EITE STREET- r. r:,:: ,-• 6TH AVE
PARCEL4=
24571 -3014
ADDRESS= SPOKANE WA 99212 . .
PERMIT USE= POLE BUILDING
PLATO=1O 000735 PLAT #•NAM±::.:=: EMPIRE HEIGHTS ADD
BLOCK= 6 LOT- ii ZONE= UR-7
AREA=
OF BLDGE= 0 t!`i' � i`ut,•;:. •• '! WATER��•'. ? .i.:`..•i
. toDEPTH= t•=::i.�t=:• ::!
OWNER= KNIGHT, r _ " v CHRIS PHONE= ? J % 928
:{ 7209
}T :Ff : 6806 i
6TH t"f ,t•:i`' is
ADDRESS= WA 99'
: ,
CONTACT NAME= ; i a SIDING. : Y :! ROOFING PHONE NUMBER= 509 928 3766
BUILDING '+ ±K6•t tS : FRONT- NA p-F :::: 50+ L{'fi.HT... 6 AFl REAR= 't
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CONTRACTOR= : SIDING t ? Y iROOFING -�PHONE-
9283766
STREET=
AVE
ADDRESS= F'OK ANF. WA 9921 2
NEW= X REMODEL=EL ADDITION=y+ CHANGE is i:' USE=DWELL UNITS= '± ...t.•t.:f ti.: {...w BLDG HGT= .... STORIES=
REQ PARKING= OHANDfCAP= CRITICAL MAT==:: N
DESCRIPTION GROUP TYPE ::}Q ±.. ; VALUATION
--- --
POLE It ,.. ,•;: VN 12.00 8400,00
ITEM DESCRIPTION QUANTITY ILL AMOUNT
RES_IDEN ± IAL VALUATION Y 108 „00
STASURCHARGE Y 4 '1)
COUNTY SURCHARGE 17,.22
> ! rit r: jri : rt r: nc: *Pa"?: } mPPt } : np x Ym. NSUMMARY
1" varf iiiPi *i ! hneinintl *} : t ?1 ;} nu
PAYMENT t}r:i ± E ±"•:1::.l:t::..1.f : e. PAYMENT AMOUNT
07/19/9i •'?`^!".}?;i 129.,78
TOTAL
O A, ?kt : : 00 TOTAL PAID= 1 . 9.: r'
PERMIT TYPE ;• AMOUNT AMOUNT PAID iMO J-' OWING
BUILDING PERMIT 129,78 129„78 „00
i29,78 1 ,t 9 i'`8 :.00
0
PROCESSED BY : jOHN LARSON
PRINTED BY : ,.-• :•., LARSON
:,i:*:,r.3: )'* r.:;r.:r..}r.•r.:r...:r.•r.:,r.i+i+ti i{Pr P. .i,,:;,.:1,4,::....Pr* THANK 'rf i±I i ********************************,k
SPECIAL CONDITION CHECKLIST
Project
Address: ___ _ _Project Project# _Use:_—_
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs. —!
—_ Special Insp.Final Report
_____ Hydrant( )
Lock Box
Engineer's-- — — — RID/CRP ^__--
-- Easements
_ —.__--- -- Road Plans/Improvements_-- — -- --_---
— Bonds
Planning •
__ — Bonds
Utilities __ Double Plumbing
— — ULID -- — — — —
Other
********`*`***"THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY****************************"*
Date received for C/O processing: -- __ —.__ . Plans pulled for final processing:
Temporary C/O issued:-- _ .Certificate of Occupancy issued:
Office file review by: ____ _—____ Date:
Filed insp finaled by: _ . Date.
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _ Date —___--
Plans returned: — — — Received by:— — ______________________
No response from owner/contractor-plans destroyed:____