1991, 06-27 Permit: 91003756 Addition 1
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOK-'IE,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 t provisions ofany stat r local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION / _Z _ Q
OWNER OR AGENT ///ltt P DATE `� / [[
PROJECTNUMBER— 9.1003756. _.,..**k! iA .`E::.e ?' i. . ir-t :-• 06/2.7/91 PAGE=
01
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.. �' C €':::: 13923 "• `.� E•„ n-.'. i:. i"fil'"•'.?.,?':?....,I._.. 23542-9037
A
PERMITRESIDENCE ADDITION
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I.31...0 C K= I...i_1f = ZONE= UR-3,5 .tl.l.,: . O= i•
AREA= ?-/f:;:::: WIDTH= DEPTH= R.it;,:::: :Y+..}
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0 E-�� t•,. ,r,•r S.... 0 DWELLINGS= '1 WATER {f....+ t
OWNER`.:— HICKS,
r,, •.R•_' PHONE= 509 922 2469
STREET= 13923 E 8TH AVE
ADDRESS= S}'E::.f''AI1A?...?::. WA 99037
CONTACT NAME= SH
. E._'E••i.i`, NUMBER=?Br..„,,= 509922 ,,'
BUILDING SETBACKS : FRONT=i NA LEFT= ::_[;i RIGHT= 10 REAR= ... .%
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CONTRACTOR= OWNER `
• ...II_. REMODEL= ADDITION= X CHANGE OF USE=
DWELL U .?. ? ,. •• 1 OCCUP, LD= BLDG HGT=
12 STORIES=
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DESCRIPTION.1.=..N is i";i..1i.P TYPE i E :its+ FT VALUATION
RES
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ITEM
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STATE SURCHARGE —
COUNTY SURCHARGE .1 "7 4 I e”;
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PAYMENT DATE RECEIPT-4 PAYMENT AMOUNT
0 i_ r 2..', i s 4201 234, 18
TOTAL
OT.? fE . ,00 TOTAL
PAID= 234 , 18
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 234, 18 234 . -18 ,00 -
t
234 . -18 2_'=4` , 8 r.00
PROCESSED,`ED 7;{ iO�• t-V LARSON
, f a.?? t I::. % z f-:r . JOHN L{`t i-':.- O?`•1,
4 R t t Px ! Y P 1 : !* y = L aj :: ii: 9 ::: j::i * THANK a ..l.. .. .. ::F: :I 3 : €P r Pi t*RJ * j ; ;PPiP