1991, 01-30 Permit: 91000317 Bathroom SPOKANE COUNTY DEPARTMENT 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 local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF k1 APPLICATION'�_ (4_ <7
OWNER OR AGENT -C:7-ccet,tt, DATE -
PROJECT NUMBER= 91000317
:
ji.2i PAGE= 01
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ADDREEE= EPOKANE WA 99216
PLAT.. 001946 PLAT NAME= OPPORTUNITY TL:R I•t:t•'i t.:?::. 4TH ADD
BLOCK= LOT= 2 ZONE= UR-3,5 DIET0=
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OWNER= !»'i;;!-,`! t?',t RONALD PHONE= F:::,':i:;: 5922
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FRONT=
ETREET= 13206 E. EEMR0 RD
ADDREES= EPOKANE WA 99216
' CONTACT NAME= RANDY THOMAE
LEFT= PHONE
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509 489 Ri33
BUILDING " tt vt " RIGHT= NA REAR= NA
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CONTRACTOR= T ENTERPRIEEE PHONE= 509 499 si33
ADDREEE= t.! 311-. t•,:.. U.i:, 99207 '
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DWELL UNITE= ETOPTFE=
REQ PARKING= :Y.1..1 f;!'-it..t.,.l...A .... CRITICAL ••MAT=
DESCRIPTION GROUP TYPE VALUATION
REMODEL R-3 2!)00„ 00
ITEM EM 1.}1::.:::t.:;•:.l.l : .!.ON QUANTITY FEE AMOUNT
•
; :•. 1 :,.'I I _.-H is I.:'
4,50
COUNTY EURCHARGE
8,64
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CONTRACTOR= : +..iI::I::!..rI i ..
STREET= ,.• '` •11.1'!'1-�•• 509 489 ?;tis ..
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION
QUANTITY F E:.E:: AMOUNT
FLOOR DRAINS 6,00
VACUUM BREAKER/BACKFLOW •; .a li"j
MINIMUM FEE ADjUSTMENT 29,00
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ymENT' :.:U:':.'1:•:!!?'f ************:k********:*** ***
PAYMENT ! !• E RECEIPT4 PAYMENT
AMOUNT
................................................
? O ! At... DU.it••.... oo TOTAL PAID= ti t
PERMIT
. i::.C::. AMOUNT AMOUNT PAID ^Cil i:jj ,i,.l i!";
•1-
ILDING PERMIT 67 , 14 „ 00
1 f,:...1 3 t i 1;?f, t tom. !I ? 41 , 00 41 , 00
():::• .. 'I 4. i tr'! :: :t •t'ti 00
PROCESSED t• T• : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
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