1991, 11-26 Permit: 91008196 Additionauthorize
SIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. I= BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)056-3675
application,„,t,-caea with inform
in addition, IlLBV9 read end hi millOrd thein
APPLICATION
DATE
PROJECT NUMItER= 91008196 TS'SUED PERMIT DA 7F- ii/76'ia F'AGF:= tii
PERMIT INFORMATIOiv
SITE SIREET= i303 r:' 101 H AVE
PARCFLA:== 2`i47 -i050
ADDRESS: :S 'Oi<ANF_ WA 99210
PERMIT USE= MAIN FL..00R ADDSTION n
2ND 'FLOORUNTOP OF GAKAGE
P1
AT002404 PLAT NAME=: EOMMER'S
ADD iO WOODWIND PARK
- BIOCI<
4 LOT=
9 70NE= IR 3.5 DIET,.= F'
AREA= 00000000 F/A'= F
WIDTH DEF.H-= r'l/W= `SO
OF BLDOS:=: I DWF:I... L.. ]:NGS=
i WATER DIST =
OWNER:.::
CLINE. DALE h MAR:CI.-YN
PHONE::-
STREET=
i3303 F i01H AVE
ADDRESS=
SPOi<ANE:. WA 992i6
CONTACT' NAME= DALE OR MAR'II... YN
F'F{ONE NUMBER=509 9^8 6415
BUILDING SE_TDACiiS. FRONT:::: NA LEFT=
20 RIGHT=- NA REAR== 50
BUILDING
FERMI:
CONTRACTOR= EI_I...IiTTT CONSTRUCTTON COMPANY
PHONE-- '509 92`8 6415
SI REST=
DCX 14406
ADDRESS=
SPOKANE_
WA 99254
NEW=: REMODEL.L
ADDITION= Y CHANG: OF
DWELL UNITS== I OCCI.JP,
L -D=
BLDG H:T=: 7,1 STORIFS:
BL.DG W X D :: 20 X38 PSG!
Fl==
1080 SPRINKL.FR=
N
REQ PARKIN(-,=' .HANDICAP=
CRTTTC..Ai..
MMAT'= N
DESCRIPTION GROLIP TYPE
SCS F VALUATION
RE:S ADD R-3 VN
320 131 Ri0..0O
RES ADD 2F'' R-3 VN
760 15200.00
ITEM DESCRIPTION
QUANTITY FEE: AMOUNT
REST:DENTI:AL.. VALUATION
Y 279,00
STATE SURCHARGE:
Y 4.50
C:DUNTY SURCHARGE
Y 44.48
MECHANICAL. PERMIT
CONTRACTOR== AIR FLOW HEATING 8 AIC PHONE= 509 ;.r 2:5 0'799
STREET%:: F' O BOX 9992
ADDRE-SS= SPOI<ANE WA 99205
ITEM DES'CRIPTI:ON QIJANTTIY FEE AMOLiNT
.............__..__....._.___..._..... ... .... .... ... ___._
GAS FITG E41.IIPi100,000)BT1I 1 i2.00
GAS P.0 F'I NG i 1.00
PAYMENT SUMMARY xz####it '#if %;f ii�h ,t x�#if ifti if#If �x�%if if
PAYME:N'r DATE RECi :IPTG: 'rfiYMEN'r AMOUR”
ii/26/919041 339.98
TOTAL. a"LE"r .OP: rOTAI_ rATD== 7,79.98
PERMIT TYPE FEE AMOUNT AMOUNT PATD AMOlIN1' i114TrIc,
............... ...... ......._ .......___ ......_.....
i iiECHAN:C CAL.. FHFIT 13.0 �-i 1:S: O1 .0•.
... ... ......... ' 7.39,'74
FRfIiCIF—,SED BY J'DIiN LARSON
r R:1:NTE:D F;'(. ..IOH i LAREON
'h 14 RI {lp idfvYf#II Rhlf i(If if nlf Alt y[ufia pt P:krt THAM YI:IIJ IEunRRRA-%-A-R'npdd'{f if Yif itRRitR#%-kk An:#{f'H-H'
Project
Address: _
Dept:
Dept. of Bldgs.
Engineers
Other
Date:
SPECIAL CONDITION CHECKLIST
Project N Use_
Condition:
Special Insp. Final Report
Hydrant ( I
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
IniL
(in)
APpr:
(out)
^`""^^...... ^"'^"""" THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY """`"`""""
Date received for C/O processing'.
Temporary C/O issued:
Office file review by:
Filed map finaled by:
Ninety days after C/O issuance:
Owner/contractor caped regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
_. Plana pulled for final processing:
Certificate of Occupancy issued:
Received