1991, 05-30 Permit: 91002956 Addition SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this pe ..it/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 Spo .ne ount to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and:gree o co ply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand tha the is a e of this permit/application an. y sub -quent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca el the.r',visions of any ate o al law r gul.tin; .:nstruction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF • APPLICATION 5
OWNER OR AGENT /0/ • DATE l/ /
PROJECT NUMBER= 9 ! lii ! ?: . : : +i , PERMIT DATE= . . t : ' ! PAGE-
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60kY0 .7111 AVL PARCEL4- 24534-0503
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PERMIT
USE= KITCHEN NOOK ADDITION
i...r••! E •tt..... 002955 PLAT !'•%Ae'E!::.:::: t%+;.:3_:l: ...{^'1 bt,''Y PARK
BLOCK= ' 't'•' t.....
AREA= 00000000 .,:::: }• 1.4• 13 (••t::. cr. .t j•-1-' 1 i i) !•:, k.0
= OF Lr « _ ' DWELLINGS=
! WATER k
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.=lk!•�!::.F:.... ;,,-,r•'t� '2.=::!3; 3:.�.E":
PHONE= 509 927 6890
. 8 H AVE
ADDRESS= SPOKANE WA 99212
CONTACT , : j . DAVID
OLEMH • PHONE NUMBER= :nr 276 258e
BUILDING S,... tlt.t.:i•t i' t it; { - NA i...E::.t t - NA RIGHT= Ni-t REAR= ...':j
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CONTRACTOR- DAVID t.;!_.::}t,r r,: PHONE-, .. .. 276 2598
STREET= 4957 SWENSON RD
ADDREEE,, DEER PARK WA 99006
''€::.il:- — REMODEL=R •ME"I:t Ei._= i::;i11jI ! It.,! w:_: `f, CHANGE
•
DWELL
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: i•::h'i.: h':.:`rt.!'':..!.3�`•'r'� Y:�..j t•:;"7 Fst,�;,'t".•t� .... CRITICAL
DESCRIPTION GROUP;i.: , •r'I::''.. EQ ,.i. VALUATION
,.. ADD
.'N .. 80 -
ITEM A4 « tt E v QUANTITY ! . AMOUNT
.
54 . 00
E"•:E::.,.: t}E.:.N E .!.!'•t E... 'v'r-'3 i,,,t.!A i .t.t.:!
• '+ A ! E::. ,:}:.?!'t.l E'a r.:E t E: 4 50
COUNTY SURCHARGE • e, 64
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OWNER CONTRACTOR= kik2 t't?E k-{ P...... .....
ITEM t::.M .. E: '_:RIF, ,):,. QUANTITY , FEE M lUNT
KITCHEN SINKS
6.00
GARBAGE DISPOSAL 6,00
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PAYMENT DATE REk-EIHTO PAYMENT AMOUNT
TOTAL DUE.—' .. t r_OO : O ! Al... PAID= 79, 14
PERMIT TYPE_.. FEE AMOUNT AMOUNTPAID ,'tL T ...
BUILDING ,i
PLUMBING PERMIT 12,00 .00
79. 14 79. 14 00
FkUULSEED i
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