1991, 04-03 Permit: 91001555 Addition SPOKANE OOUF TY 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 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 rovisions 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 y`
OWNER OR AGENT 4—,,re DATE
...... . ..-. .
i'',Iii (i' = t:)i ISSUED PERMIT DATE=±:'... } i> 3 PAGE= 01
:**y..* *********************** pERMIT .i 1 J"`3:i:;?:•:ii:;T1t'9E,.*!i• '•).i±t 9'•Jt•iFr..7i..9.rT 1.li.*)..`k).};.z....*;;.
,1. i::: ,....,. {..
AVE 24534-1903
#' ±._{.: ,,.y.... 000552 PLAT i-f'8#.±....... t.•#'{t.'1"i":..: . ADD.
5 DIET4=
AREA= .).)t; ..00 1 ,'•{::i:::[ WIDTH= 100 DEPTH- 176 t•:,;'{?,i:::: 60
a DWELLINGS= .} WATER DIST
OWNER= 1 __ _ , ift ± ± % PHONE= 5 t ? . # . .
STREET= 6724 E 14TH AVE
ADDRESS= SPOKANE WA 992-12
CONTACT #a A€'^}-:::: BRUCE SLEEP PHONE NUMBER= 509 402 7604
BUILDING !::. € Bfii:.;:,s 1"#';t.1 N € _.. s.i, .;.¢. LEFT= NA RIGHT- ... REAR= 's'0
sn : : n [r : rn: a : UR :Pin ? , i i �,; i$ pi : ni BUILDING. : � ? v :; ; • f: ; iiaa33.
i * ;; .ynay : ;; i I ; ;; ; ;j
CONTRACTOR= .i::{i"; it,i'. : :. _ <<i'+E f re I(.TION ''I'•3(ii'+I:--- 509 7... .�.; .
ADDRESS= SPOKANE WA 99207
NEW= r. - l.:t..±....... ADDITION= . . CHANGE OF USF=
1)LIE L €. tl;`.t i € .:::: y t..ICi..''I_ . }:1:::: tK€._l.G 18Te:: t# < r _ .. ..
BLDG W { j = 6 X .}1 `?SQ 1 F"'':.. .126
SPRINKLER=. N
REQ PARKING- - OHANDICAP= CRITICAL MAT- N
DESCRIPTION GROUP TYPE EQ FT VALUATION
ITEM tvi ?)1...... ......€.t , .#. N . _ QUANTITY 1..#:'.;:.. AMOUNT
RESIDENTIAL VALUATION 72 ,00
STATE SURCHARGE 4, 70
COUNTY- SURCHARGE Y 11 „
)• )±. 1, }...)1.:t),:•.P.:t a.,:}+.N.)[It i)1:Pi P:'17}M1 3 ±i i,r j±:'7t Pt p#...u r"#:S.€.N i,:._ #.:.. I Pr•Ai iG ,i'j• ±i•.L'*Pr i{•j(.}±;:)i.*t}e;•A.}t..j,;•.)t•}±j.t;,.}±..}j..}j..j,..:..A.},..1.._.
1 i•,' ...•: :.::.;i ii.)'• .i#. L.€:: CONSTRUCTION I_+I..11'fnjt.. 509 0 .
ADDRESS= SPOKANE WA 99207
ITEM# A!ECI;:I#'' , It.li`# QUANTITY i"t:..€:. AMOUNT
CLOTHES WASHER 1 6.00
ac.:,..a..sr.•..: a::;.::..'..1:.-,-.::.i:.s..:,.'•:, .,.,k::.ia a..:,r.a. •:±j.:;j.:.. :c::.: :.:±,•.:±....,:.:..:y.:.......:..s•.
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.,:•. :-.3�.),a):::'),.,4:);., „:C•3"r.1,.�.J[:,:,,�.„:�.:. .. ,•;} #tiY€".#`� # ,.. ...... .„y±.,?••( }...�:.'.„.'7�1'•.':`.'1t....?.,.7,P.P.'.'t T' ..,...t..:.1. .,...,t. :t
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/03/91 11768 94,02
T ..,:, [ .00 TOTAL ;;:.F•,-t., 94,02
PERMIT ,.-,.. FEE AMOUNT±,,.,, : :-51.1,.t., r+, ; PAID AMOUNT i iW : N
BUILDING PERMIT 00.02 ,00
PLUMBING P1:.Rfi.I. '6 ,00 ... .a'.:)± .00
p::.:,,, i.. , i-• s) B o : :.?i..)I I #::. :`.I..#i• I f 1,i
: ;1:,: r: •n: e'k?r a.x; ; ; e) ;sttr•). : ;):r ,1 ) :: rTHANK ! " :: : . t y.;.. ;* ;*.�,.i±:. :: :*i , rr : ; 1
... : : r
R •
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 OF OCCUPANCY 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:
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: __ _____________________