1991, 05-24 Permit: 91002858 Addition SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 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 ci 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 construc
SIGNATURE OF APPLICATION 6r-iC ///J �!
OWNER OR AGENT 4- "setdrZ DATE
PROJECT yJ'1Et- 91002958 ISSUE _ PERMIT D' : _ 05/24/91
: : : • 9 ! t'`F•tGl::.:::: 01
}(.:,!::n.*•k•;i•ie•;i•x.:>{.ii•k.µ ik n•';i';{••ii'a h';i H..k i '•i R• "'r• I ********************* *****,k
1�'(:.F�;i'i7:-.' �.�?E��'t..Itt•ir-i i l::fi�.;
SITE
STREET- 1 .......L E": 18TH A'E: F't F•tt.:E:.L..i! 27542-1142
ADDRESS= SPOKANE WA 992.16
PERMIT USE.: :: RESIDENCE ADDI T•ON
} - x. � ?'1 : : : PLAT n T NAME=„.
: ! . 1 '� :_ ± PARK F < = }i
BLOCK= .
p.
AREA=•• E: /A. WIDTH= DEPTH= ,:;.,i:: 50
OF BLDGS:_: 0 DWELLINGS= 1 WATER DIST ._.
LA,-c•o, JIMMIE L . PHONE= 509 929 -1425
STREET= 1 0':i L_ 18TH AVE
E
SPOKANE WA 99216
1..:t.;N ; AC ! NAME. :: J1:MM7.E:. E...i sL'.i:'•i PHONE NUMBER= :' )9 •} ;} -1425
BUILDING SETBACKS : FRONT=•- 25 LEFT=... NA RIGHT= NANAF•1.`E^REAR- tNA
..Y
!.•it•ii••h:•it••u•'it•:)k G;i•:)!i'i}i'1t'u•'%t•ni !.'hi..•ii••N:•ii.h..if.i?.i4*x'ii'•%t* BUILDING F " *****:k********* ****:*******:*
CONTRACTOR= OWN'
NEW=W:: RE::MODEL..= ADDITION= X CHOF USE=
DWELL UNITS= •i (ii.:::Ct.it .: L_U:::: BLDG iIGT.-.:: 12 STORIES=
BLDG W C
D =
w x •i i sq FT= 33 SPRINKLER= N
RFO PARKING= 4HANDICA -: CRITICAL MAT:
N
DESCRIPTION GROUFP' TY'P'E: 4 i, F''' VALUATION
RE::.`. ADD R- 'n \I N :33 10:.: 9.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
RESIDENTIAL VALUATION Y -.!:: '•
'?.).. 0
STATE SURCHARGE: `i' 50
COUNTY SURCHARGE Y 5 .60
.. .... .. ........ .... ..........
:11.,:u:'ri:1!..1!..n..1,..!,..),..1,..1!..),,y.,../1..x..p...i!..N.*•P:*)i..P:.i(i}:*•h:-'P:!{..u.. E '
i"F�!Y I`9�:.iw t •�i 1`'1!'r!r-i 1";T :1**** ********* *********
PAYMENT Dr1rl :: 1 "T4 PAYMENT AMOUNT
05/24/91 9 3 i i 5
�..i
1 i' . 10
TOTAL. DUE:::. .00 TOTAL PAID:::: 4'5 i 0
E'E::RMIT TYPE: FEE AMOUNT'NT. AMO iN 1 1 PAID AMOUNT OWING
BUILDING PERMIT 5. 10 .45, 10 . 00
45. 10 45. 10 .00
PROCESSED . Y . - EN LARSON
PRINTED
BY :: JOHN LARSON
j:..)l'Pr 9!r Pi M•Pi K*Ni p''%..Pr i':.il*_4..N'%t'a...r•..•%!::'+i.....i,..i,..11. THANK ..:#••1 U **it••14••p:.:1,.1,.:,.::K...*'}.::.: }:.:!:.:k.:,::r...:.(.:.:
^
SPECIAL CONDITION CHECKLIST
Project
Address: ` \~ �/ �^ ,, ~� �,' �.x>'r /.-
Project ' Use: `
Dept: Date: Condition:
| | | !nit: Appr:
(in) (out)
Dept.of of8ldga
Spooia| /nnp Final Report
Hydrant( )
Lock Box
/ --
Engineer's � - � RID/CRP --
Easements
Road
Bonds
Planning / | --� '
Bonds ' --
' --'
Utilities '
Double Plumbing
ULID
--
Other
••
_ --
' --
` --
_ --
~~^^^`^``~``~^'^~~^~~~`^~
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OrOCCUPANCY ONLY~^^^^~`^~~~~`~~~~~~~`
Date received for C/O processing: . Plans pulled for final pn000monO:
rompom�c/O�nued: --' --
' Certificate of Occupancy issued:
Office file review by: . 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:
_____