1991, 03-19 Permit: 91001182 Repair Fire Damage SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
1 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 ions of any state or local law re lating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF , APPLICATION
7
OWNER OR AGENT / -� !-C� DATE /�' /
PROjECT NUMBER= 91001182 ISSUED PERMIT DATE=?::._:: ,.i% 1 '? PAGE= 01
•}+:•r:-}.-r::1••m•}+:•},:*sq•F:•}y.*_ ..;,:.},:•}}••P.•.}`•:F•-F:-R:?+:•N:.p:.},.*.t. s:?::-I'°:?`1.3.T INFORMATION iR•P.•9,:*•P:grR•P::R••R94-)k)+i*Pr-A:•P:•A::e }+:**•tR••rt•*
SITE STREET= 17622 E 6TH AVE RRCELO= 19552-0707
ADDRESS= GREENACRES WA 99016
PERMIT USE= FIRE DAMfl''iGE:. REPAIR 2ND F"?...00:iR
3•'I A..,4:::. 0004-16 F : ..i. NAME= lI : : yTADD
:TO r; IEtt _ s{ ,
BLOCK= LOT= ZONE= filyl:.I. DIET4= I•:,
,r'�{I=;E::±••!_.. 00000000 ;��',/,r•`;::: F WIDTH= 'i lJt:t DEPTH= '>%ti i:i',/�,.{_::
OF t,-t± Dc; ::c :I :: DWELLINGS= 1 WATER F; .. T ....
OWNER= DUPREE, GEORGE PHONE= 509 928 736i
STREET= 17622 I::. 6TH AVE
ADDRESS= f;pf f::i\jf'ti:::F F:::.•:.' WA 99016
CONTACT NAME=
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, CONSTRUCTION
; : <? LPHONE NUMBER=
? " :± ° 5099 920 6208
BUILDING SETBACKS : FRONT= NA LEFT= J, RIGHT= NA REAR= ! A
rP19 P? 9Rk B 4 k k C h r N9 ,n} ... **: } 5 hnBUILDING
r? iL, Y -CztIyr*i : 5r i ji.) % : ti 1ii
CONTRACTOR=
ON , : iR : I t , CONSTRUCTION
ONsTFIlT7i' =1 _iF _ 509 3 } y
•! ':%"`+8
STREET= 3006 E MC DONALD RD
ADDRESS= SPOKANE WA 99216
NEW= REMODEL= C ADDITION= r"A± r OF USE=
DWELL
UNITS= ; OCCUP, LT;:::: .'+.:4t...T`}%.Y HGT=:::: '?T(11 'I:E' ::::
SQ FT= SPRINKLER=
"" ^ PARKING= eli\JvCI : CRITICAL MAT= J
7:=TPTION GP= SO FT VALUATION
REMODEL R-3 VN 20000,00
.I. I l::M DESCRIPTION QUANTITY FEE AMOUNT
J T
RE, .DEN ± IA?._l VALUATION y 207,00
COUNTY S#.if,?.:I'iP•tr{i,v.::. f
r•c ti nx:} :: r e r + } r n n n n i } a + nn n n u n PAYMENT EU i ' -F. ....................iY P::}l•.j,:3,r-Pi-),j•i,;.p:.j,..j,..j}..h:i,::1}+::M:A•
PAYMENT Df•'? I I•-. R:t::.l.:5::..t.t"' ? : :i-a Y t"i t•:.±`t ± AMOUNT
03/19/91 1352 244 ,62
00 T 0 T AL. I..i.:t:I.j?:::: 244 ,6:2
PERMIT - P FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 244 : 62 244.:62 ..;:.%
244, 62 244:. ...2 .00
PROCESSED i• , - ,.?I.31....,.,... ,`>Hi••{ ± ± i..
PRINTED -{t Y : ,.S!.i I....1.i:. '.. -i t••i i ± ,..1
;ni{,j-)i'ii..j{.:Pi-R''},:'P:'A:'P::7:;,..jj.i,7i i'•l••)l•:}!••3,i•A''.`+i'hi'ik'Pi-i,:'Pi'i+i'iS..jFi.jj.:pi tni THANK Y-o?.i !i•it•i„i iui-h:i,:-i4•jj:-j,;*9+i i•:ni:*:*:N:* ,;•it:•*:** ,;-i,;*:n;r:*'Ar 14•-P:•'P:'P:
SPECIAL CONDITION CHECKLIST
Project
Address: 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: —