1992, 10-07 Permit: 92008543 Repair Fire Damage SPOKANE COUNTY DEPARTMENT OF BUILDINGS
• W.1g03 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 1 APPLICATION ,rte
OWNER OR AGEN1" DATE �� / 9a
PROJECT NUMBER= 92008543 ISSUED PERMIT DATE= 10/07/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE. STREET= 12721 E 12TH AVE PARCEL $= 45223.0722
ADDRESS= SPOKANE WA 99216
PERMIT USE= FIRE DAMAGE REPAIR OF RESIDENCE. IN f015AEO
PLATO= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= r LOT= 6 ZONE= AGSUB DIST= F'
AREA= 00000000 F/A= F WIDTH= 143 DEPTH= 155 R/W= 50
w OF BLDGS= 2 w DWELLINGS= 1 WATER DIST =
OWNER= HUNT, FRED PHONE=
STREET= 12724 E. 12TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TED PHONE NUMBER= 509 535 8801
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT ****************************
CONTRACTOR= MR. SERVICE INC PHONE= 509 535 8801
STREET= 728 N COOK ST
ADDRESS= SPOKANE WA 99202
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= i OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RESIDENCE R-3 VN 25000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 2'.x2.00
STATESURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 45.36
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT PAYMENT AMOUNT
10/07/92 8663 301 .86
TOTAL DUE= .00 TOTAL PAID= 301 .86
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 301 .86 301 .86 .00
- -301 .86 301 .86 .00
PROCESSED BY : BARRY HUSFLOEN
PRINTED BY : BARRY HUSFLOEN
******************************** THANK YOU *********************************