1989, 05-31 Permit: 89001519 Residence Addition SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 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 . any state or local laws regulating construction.
SIGNATURE OF APPLICATION _
OWNER OR AGENT DATE
PROJECT' NUMBER= 89001519 DATE= 05/31 /89
=, ;r : 01
ISSUED PERMIT
**r:•****y:**7iit•)t# r•;{yt***a *•}r•x:F 3t•u* pERmIT INFORMATION ********'x,* ** * * ******
SITE £TRE_T, 11522
i522 12TH A4E isp ^ :Ln _ 21544-2704
ADDRESS=
SPOKANE WA 99206
PERMITUSE= RESIDENCE ADDITION FOR SPA ROOM
PLAT: :A: 00365 ` PLAT NAME= ADD
BLOCK= .•7 2:0N E= �;#..•i-': I):f
DWELLINGS=
OWNER:::: SPENCER, JAN PHONE=
STREET= 11522 E 12TH AVE::
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LARRY FLEURY Y PHONE NUMBER= 509 928 5360
BUILDING SETBACKS': #:'RON•T:::: NA LEFT= #: X:I:S RIGHT= NA REAR= 81:3
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CONTRACTOR= FLEURY _ ti1UCTItN PHONE=
# \F : c "9 928 5360
STREET= 5107 S MOHAWK DR
ADDRESS= SPOKANE WA 99206
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NEW= REMODEL.- ADDITION= X CHANGE OF ?!.:•f:.:_:
DWE#._#._ UNITE= i Oc:C;!P.: #._b}:::: BLDG HGT= STORIES=
BLDG W X D = . 2 _ X 20 O FT= 24{}
" " } PARKING=
9iiL = nFra # " A _ _ SEWER= Y HYDRANT- N
DESCRIPTION GROUP TYRE: SQ FT VALUATION
i+1
GRE.::.NI•'!i_t,_zS1•:. R— e N 240 5000,00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
RESIDENTIAL VALUATION Y i 2..00
,_'TATE: SURCHARGE Y .50
(:.tj..pfk) } L: } } * f 3i ; ** * f } } : } ... AYMINT SUMMARY hi ? : gj *PpJ } ir} } : 3 Ph : : #: : :
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PAYMENT DATE :4r
r - > PAYMENT AMOUNT iCi ;_
05/31 /89 1884 75-50
.. .............................................—
TOTAL DUE= ,po TOTAL PAID= 75. 50
PERMIT TYPE s E i EE AMOUNT AMOUNT PAID D AMOUN l' OWING
............................................................ .................................................. ................................................75- 50 ....................................................
PFRMIT 75 - 50 75 - 50
i..
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PRINTED BY : WLNDEL , GLORIA
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INSP - ID 'at 1104
17-A)
DATE 117-1-)
10-1/,01
A
A
0
* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (yin) Certificate of Occupancy issued:
Received application: By:
Approval granted:
By:
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:
Notes: