1990, 06-12 Permit App: 90002662 Remodel SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
wK :3D3BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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IREMENTS/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 NUMBER= 900O2662 DATE= O6/i2/9O PAGE= Oi �
APPLICATION
****** ****** **************** APPLICATION *********************************
SITE STREET= 10508 E 13TH AVE PARCE} 4= 20544-2208
ADDRESS= SPOKANE WA 99206 PARCEL
4=
USE= INTERIOR REMODEL OF RESIDENCE ::�cea �~ IN%ULA�0IN & %HEETROCK )
PLATO= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 21 LOT= 4 ZONE= AG%UB DI%T4= 1:-.-
AREA= O0000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= , DWELLIN %= i
OWNER= MAAK , DONALD & JENCY PHONE= 509 924 7398
STREET= 8027 E AUGUSTA AVE "
ADDRE%J= SPOKANE. WA 99212
CONTACT NAME= JENCY MAAK PHONE NUMBER= 509 924 7398
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT ****************************
CONTRACTOR= OWNER �H�:�[~
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= i OCCUP L = BLDG HGT= STORIES=
BLDG W X D = X SO FT= SPRINKLER= N
• RBQ PARKING= OHANDfCA~= CRITICAL MAT= N
DESCRIPTION GROUP TYPE %Q FT VALUATION
----------- ----- ---- -----
REMODEL R-3 R-3 VN 5000.00
I—�K C---~-- -- -
' ^- '' - QUANTITY FEE AMOUNT
------------------------- --------
RESIDENTIAL VALUATION
VALUATION Y 72 O8
STATE SURCHARGE Y 450
•
***************************** PLUMBING PERMIT ********************** *******
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
CLOTHE% WA%HER i 6. O8
PERMIT_TYPE__ __FFr_AMOUNT_ _AMOUNT_PAID _AMOUNTOWING
•BUILDING PERMIT 76.50 .00 76.50
PLUMBING PERMIT 6.00 .00 6 . 00
------------- ------------ -------------
82.50 .00 82.5O
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
******************************** THANK YOU *********************************
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ..;2 () ,S
STREET ADDRESS: 2: / 0 so / 3
i(
CITY/STATE/ZIP: �` � D C�"-�_ C�� k_ 99 cD
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: pp # OF DWELLINGS: WATER DISTRICT:
OWNER: /1/4---)CACL's �~Pj-lC� (nun_ < PHONE: J ) �- 9x254 739
MAILING ADDRESS: b L- . ck.-�
CITY/STATE/ZIP:
CONTACT: PSC\ 010 PHONE: - 9a2V- 2 ,3 9.12
SETBBA�CKS: RONT: LEFT: RIGHT: REAR:
(Z- ( / r
PERMIT USE: I fml 4, I C I 4 i
:si
***************************************************** ** ***** * * * *** *
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: