1991, 04-12 Permit: 91001591 Residence . S
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
. R (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 ca e eprovisionsofanystate orlocal law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructio .
SIGNATURE OF APPLICATION •_
OWNER OR AGENT ^�C� 4,<__A DATE qr1"2 I/
PROJECT
NUMBER= 91 . _ • ,r1 ISSUED "Eit ! T DATE- "4 1 " ; � i PAGE- 0
?
N••}i•3i•)i)i•}i•!k)t!i•)i•)i•)i•1!•)i-it•)t li ii•Vii-ji•7!:9i•:)t)!•iF Jt-'it•R• PERMITI N i• O i"•:r'1(• i .?.t.f f )i'9t'1i•9t')H:it•ti•9i'i?•-)?'9t tt lt:1?•)I:0.')!'JL P-•1E 9i-9+:ih.n. ?..tt•ar;o-
SITE .. .... ••� - ,�. , u 24534-0822
. i- I::.I::. 1 _.. ',�x.} i:.. i +. � r'I f••1 4 F:. I"'(••?i�:�..•F:.i...:N:::::
ADDRESS= SPOKANE LIA 99212
PERMIT USE= RESIDENCE
PLATO= (). `:`y' " PLAT r T f a lei?'I{::.:::: ljj c:i I)r:}i._A W?N PARK
.l:fi...t.If..K:::: LOT= _..f.IN1::.:::: F7....3.. .. DIST4= E
AREA- i / : = " WIDTH= 70
DEPTH= 140 {„
+ OF BLDGS= ViDWELLINGS= i WATER C1tiT = SPO CO WATER TI
E_
wi
OWNER= JUt.GENS , DANNY 1.. PHONE:::: 509 922 4982
STREET= 't 1 1 1 S f'1:ri7:tE::I I nrJF:: DI
ADDRESS- VEI ADAi._E WA 99037
CONTACT NAME= D: ANrY JURCEN: PHONE
ii - NENUMBER=
509 9;: 4982
BUILDING SETBACKS : FRONT= 30 LEFT= 7 RIGHT= 20 ,: 37
•}i'iG•Pr•k•)+:-ii•}i-*:)i 4+i 7i'ii:)k•Ni'R•Pr Pi•ii' 'ii•Pi-}i•'i.•b:•.:'*•P: .P:.1+}•}i• BUILDING F''E R r?I f x.•R.'ii•-R•-!t..•'y''P:F•.'}+r'A:*:Pi.P•}+i..-Pi 9+i•Pi..•,:,**'Ai'}+i'R•
CONTRACTOR= OWNER PHONE=
isi:::W=:: x REMODEL= ADDITION=
ADD] Ti ON= CHANGE OF USE=: :
?aii...i... +ilT �= i fC ' i� L " : BLDG HGT- STORIES=
.c:0 0SPRINKLER= 't
C:f I...t?C, tAI ;� T? .... .ax ,..17 1-_f:::: 1400” .. �,
REQ PARKING= :a:HAND:rCAP:::: CRITICAL iMAT::_ N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT t.I R-3 VN 1400 .i "y.->0''I '1'.)
hi:::f:;K. R-•-:.> vtd 90 360,00
(-tAFtAIzE:. I.9....1 v 5'yis 3696.00
RESIDENCE E R'~:'i VN 1400 61 y00.i)O
ITEM DESC:R:i:F'IION QUANTITY FEE AMOUNT.
FES 1.DENTIA?... VALUATION Y 5• :i:.00
TAT SURCHARGE: Y 4 :.5-;0
I H1 it1 T''Y ;'HRf:::FiAhf;I::: ,Y` 0 , .. ;'i:
» r xnn ra* r n*k iriir) *ie**laiirtRt ¢n " : : A` . Ci PERMIT ) 1 9 J h*iR94» ?*4 E l ) t9riN y9
} PP
CONTRACTOR= UNKNOWi`'-i F'HONE::::
STREET- UNKNOWN
ADDRi:::S,?j:=: UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTI'T'Y FEE AMOUNT
GAr:'.• WATER R HEATER 'i 10.00
G Ai . HI G I:::fa I I I P s 1 ::)' 4:i+.?'r? t:f f i I 1 'i .:.. :.0%)
GAS PIPING ,-) 2.00
tr*•ti•ya•ri.i•.•x••ik•ii•ji•ik•ie•ii••li••ii•li•ii•ii ii••ia**•i+i-iG•i+i•ii'*•i+i•ii' i' �1!•� .. ... .... .. .. .......... .......
''......E`?:. .i t I''::. '',r`?.. I .1r.:A:'Pi•Pi•hi.},..P:•P:•P:'A:'il.i,..i,..�..i�..i,.:F..i,..),,.),..1i..A:Ni'P.•9t••A:•A''A•il••Nt
CONTRACTOR- UNKNOWN PHONE::::
STREET= UNKNOWN
ADDRESS= I.NKNOWiiN WA UNKNOWN
ITEM DESCRIPTION QUANTITvi: EFEE AMOUNT
'I i K E '"j 1 2 ,0 i)
BATH TUBS
KITCHEN SINKS i 6 .00
DISH WASHERS 1 6.00
GARBAGE DISPOSAL 1 6::'10
CLOTHES WASHER i 6..00
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 APPLICATION
OWNER OR AGENT _ DATE
PROJECT NL.ii ir:{ ::F.::::: 91001591 isS.:>►..]l:::D PERMIT r">ATE::T: 04/12/91 PAGE= 02
P:•N.••.t P P*J P P It P Ji )t•N P N P P •P •!t i P P P P P P 'P *N It R F•t T 1 i L..NT SUMMARY 'Jk P:it•-)k 94•Jt-}1•-)t--A•1l•11•.P:.li..P:-lt''1•i'P:'Pi.lt..lt••P:•P:•P:•N:dt'-N:'N:
PAYMENT DATE Rl: Cl:I P i O PAYMEN.T. AMOUNT
04/12/91 2015 720. 70
t-}:: TOTAL
720 .70 2�, 7 0
�rr.:i�rr::,l... DUE= .. ..�:J i�L.iTr�Jl... PAID= �.:...� . t :.
PERMIT TYPE FEE AMOUNT AMOUNT l.:AI:::1) AMOUNT OWIN'...,
BUILDING PERMIT 636. 70 636,70 ,00
MECHANICAL 1'hiii T 24 .00 24 ,00
PLUMBING PERMIT 60.00 60.00 .00
720.70 720,70 .00
PROCESSED BY : WIEND I... , GLORIA
PRINTED BY : WENDEL.., GLORIA
THANK y , .. ...... ....x• .................... ........ .
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: lnit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant ( )
Lock Box
:;* • ;t-
Engineer's RID/CRP
Easements
Road:Pia m PrOrrients. 7 !
• '" •• .! : , .,
• •••
• : f , = :
1: •
. •••
Planning 7--: BOntls.r. .
'7
•
. . .
------
Utilities Double Plumbing-
• • ULID :7!
••••
, .
'••••
Other
---------
„ . lsit•): •,
,.
, . .
•: ; z
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF GOOLIPANCYONEY','"7-*:”
. .
Date received for C/O proceSSin6-:' Plans pulled for finaliprOciassirig: ;
. .
Temporary C/O issued: 5. Certificate of Occupancy issued: • •
Office file review by: ' . Date:
Filed insp finaled by: . Date:_
: -7-7- •
. .
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: