1991, 02-14 Permit: 91000522 Pole Bldg SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
1 SPCA 4NE,,,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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT — -4.---LA._ . /f. !Q DATE / ,,,((( c�/
4
. ''•.:.1,.1 ::.C . ..... : E::.1•/::. '..: 000522
.c:A T i::� ( 2 /.; ' ,:;:1 PAGE= '�: ,
i :U I4 D PERMIT ERMIT
! ::F?.f.,.t :! t: :t.: p .. :: t ! {! {. h. .9 ! ! PERMIT± : ; INFORMATION :: tN ! ; * E 9 t t 9 ) j *3 * f j9 ) 4 . :tl. 7 a:r
ADDRESS= SPOKA4E WA 99216 _
PERMIT USE= ..E t POLE BUILDING
PLAT NAME= WuuDWARD PARK ADD
b : ..,�..,t,. LOT=
8 CiN ....
....,iAREA- ..t°:'!t` ;; :y :j{i, t" `(I y- (r,i ±. !t - .. 6.)t t"i r'o-!'? ••
. f-'?A)%JE";-.,;'.;:;:::: }Pfk A 'E WA 99216
CONTACT NAME= jAY
�,: . ! : ': ;.3';t-: :.::... ! Yt(••y;.t: ±..±'': .f `•� ; :• tj r.`.1 LEFT= 45RIGHT= •�'}'r.`.N -;REAR= 10
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?p Pp Hdp dPP* ? :: : p1pt (: t qt : ( n BUILDING PERMIT ***************** * :k******
?.. ..i±',t i i?'{.:C . ;,tR:::: OWNER PHONE=
:.;#..?.i.... !
REMODEL= ADDITION= CHANGE OF USE=
T:•;'_.... ,t, :::: y Y .. BLDG HGT= 12 STORIES=
BLDG , ; ; . :"i " . 6
r i
FT= 1008 SPRINKLER= i'=i
±'::±:::1,.• PARKING= :.,•t?,•-e?',D...;.:t'ilP:::: CRITICAL MAT= i'•
DESCRIPTION GROUP TYPE EQ FT VALUATION
.. . E-. . ...?....,.. r .±.t.: r r .: .
± Or•-: QUANTITY FEE AMOUNT
RESIDENTIAL
N V:.: O:.TIO
t. 1 v 99,00
STATE SURCHARGE ,..
COUNTY SURCHARGE 15 ,84
p , ttp.7t? 4 , .. ? : h p *h pp: : p : papPAYMENT S : . - ..............A inTfi3'iiJi$i•ii$iP " .`i*
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
02/14/91 67i 119 ,34
TOTAL DUE= .00 TOTAL PAT.D., 119.34
PERMIT TYPE i-EE AMOUN ! AMOUNT PAID AMOUNT OWING
.............
BUTI.DING. PERMIT 119 , 34 119 ,34 ;0-0
1 119.34 i19 , 34 ,Oe
PROCESSED BT---'-
PRINILD ) YT JOHN ..
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SPECIAL CONDITION CHECKLIST
Project
Address: -- –__ .Project#— _-- Use:-----_------___ ---__–_-
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
— Special Insp.Final Report_ --_—__
-- — Hydrant( ) — — — —
Lock Box
Engineer's_ _____ —_ . _ RID/CRP
-- — Easements_—
Road Plans/Improvements
— — Bonds -- — —
Planning Bonds
Utilities — Double Plumbing
ULID -- —
Other -- — — — — -- — —
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY******************************
Date received for C/O processing: _____ —_________ Plans pulled for final processing:
Temporary C/O issued:--__.. _ .Certificate of Occupancy issued:.—__—_.—__._._____
Office file review by: _ . Date:
Date: —___—
Filed insp finaled by:—_-- . Date:_ —_---_-_--._-_--
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: --------_--___-_ ----______. —_.-_ —____._--