1991, 07-09 Permit: 91003518 ResidenceSPOKANE COUNTY D.SARTMENT 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 !opal lacy regulating construction, or ds a warranty of conformance with the provisions of any state or local
laws construction.
SIGNATURE
OF� APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91003518 ISSUED .PERMIT
**************************•** PERMIT
SITE STREET= 11010 E 5TH CT
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE W/GARAGE
PLATY= 005048 PLAT NAME=
BLOCK=,4 LOT=
AREA-% 0000000 F/A=
4 OF BLDGS= i * DWELLINGS=
OWNER= D B BUILDING
STREET= 12018 E 1ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CHRIS.SWANSON
BUILDING SETBACKS. FRONT= 30 LEFT= 9
************#****************** BUILDING;
CONTRACTOR= i) h B BUILDING INC
STREET=: 12018 E i ST AVE
ADDRESS== SPOKANE WA 99206
NEW= X REMODEL=
DWELL UNITS== 1 OCCUP. LD=
BLDG W X D = 30 X 38 SQ FT=
REQ PARKING= ;HANDICAP=
DATE= 07/09/91
PAGE=
01
INFORMATION ****•Lt•***********************
PARCEL.= 21542-1103PTN
HEARTLAND 2ND ADDITION
6 ZONE= UR -3.5 I}ISTt= F
F WIDTH= 79 DEPTH= 145 R/W= 60
i WATER DIST = MODERN
PHONE= 509' 926 0755
DE::SCRIPT10N
BASEMENT U
DECK
GARAGE"
RESIDENCE
GROUP
R-3
R-3
M -i
R-3
ITEM DESCRIPTION
TYPE:
VN
VN
VN
VN
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
******.********************3****
PHONE NUMBER= 509 926 0755
RIGHT= 10 REAR= 85
PERMIT **********•*****************
PHONE= 509 926 0755
1008
ADDITION=
BLDG' HGT=
SPRINKLER= N
CRITICAL MAT= N
SQ FT ' VALUATION
CHANGE OF USE=
STORIES=
984 8856.00
80 320.00
484 3388.00
1008 44352.00
QUANTITY FEE AMOUNT
Y 446.00
Y 4.50-
Y 71.36
MECHANICAL
CONTRACTOR= ANDERSON'S SHEET METAL
STREET= 13903 E TRENT AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
GAS WATER HEATER
GAS HTG EQUIP<500,000}BTU
GAS PIPING
GAS LOG
PERMIT **************************
PHONE= 509 928 0960
QUANTITY
1
3
***************************** PL_UMBING PERMIT
CONTRACTOR= GOLD' SEAL MECHANICAL
STREET= 5524 E BOONE AVE
ADDRESS= SPOKANE .WA 99212
ITEM DESCRIPTION
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
a
INC
FEE AMOUNT
10.00
12.00
3.00
10.00
*****************************
PHONE= 509 535 5944
QUANTITY FEE AMOUNT
1
1
1
1
1
1
1
1
6.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
r
r ,
SPECIAL'CONDITION CHECKLIST -
Project
Address: - Project #
Dept:
•
Use
00.,01
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Date received for O/O pr6 els ng;4s 0 t! ==.3!>S Cl 13'1
ON1 4U1.341146411:440
J�UIMAH:33M iAJZ 'UJ0J=iRUT3MITVO3
Plans LWU d)dlP3jfl1 o ss4+9:2t—T33i1TZ
Temporary 0/0 issued' Certificate obcan44sui4• NO1Z=Z235QQA
Office file review by: TAU OHO :3'3 11ITIxitLlatpte' %1JTI'9'r.?439U tl3TI
Filed ins finaled by: , Date' G 13 J r.OT
7?IUT7.
OAA
Ninety days after C/O is4Ce 1 7.513W0H2
.G, r ZaLT MAO
Owner/contractor6aited'regarding the return of pians' 7 )Jmei ViRH:1T T N
00.61 Z513HZAW HUGPlans returned: 00.61 Received by j13iIzALJ Z 3HT-
No response from dlGher'!contractor - plans destrd'yed' • 2 A T A iI0 r'i 00 J R
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Int 7A;)
* * * ** * ;#*T,k+AS 49EFA Q994 a#M3:64,1oi19ispRigEPTitscig a kigmFidipow4* E;tsEar******
Date received for O/O pr6 els ng;4s 0 t! ==.3!>S Cl 13'1
ON1 4U1.341146411:440
J�UIMAH:33M iAJZ 'UJ0J=iRUT3MITVO3
Plans LWU d)dlP3jfl1 o ss4+9:2t—T33i1TZ
Temporary 0/0 issued' Certificate obcan44sui4• NO1Z=Z235QQA
Office file review by: TAU OHO :3'3 11ITIxitLlatpte' %1JTI'9'r.?439U tl3TI
Filed ins finaled by: , Date' G 13 J r.OT
7?IUT7.
OAA
Ninety days after C/O is4Ce 1 7.513W0H2
.G, r ZaLT MAO
Owner/contractor6aited'regarding the return of pians' 7 )Jmei ViRH:1T T N
00.61 Z513HZAW HUGPlans returned: 00.61 Received by j13iIzALJ Z 3HT-
No response from dlGher'!contractor - plans destrd'yed' • 2 A T A iI0 r'i 00 J R
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