1991, 09-20 Permit: 91006102 Remodel SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BF(OADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application,state that the irrormation 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 / C — APPLICATION 9—. z .0 — /7
OWNER OR AGENT y �� DATE
PROJECT NUMBER= 91006102 ISSUED PERMIT DATE= 09/20/91' t3F 01
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SITE STREET= 5109 E 16TH AVE. PARCEL_;;::::: 26531 -9092
ADDRESS= SPOKANE: WA 992.12
PERMIT USE=:: FIRE DAMAGE REMODEL.
PLAT;W 999999 PLAT NAME:::: RANGE
BLOCK= LOT= ZONE= AGSUB DI: Tx::- F-
AREA= 0vX00000 F/A= FWIDTH=IT -wDEPTH=
4 -W:
MOF BLDGS= 1 w DWELLINGS=
i WATER DIST
OWNER:::: CHRISTIAN, LARRY PHONE=
STREET= 5109 F i 6TH AVE
ADDRESS:::: SPOKANE WA 99212
CONTACT NAME== KIIMPEL. CONSTRUCTION INC_ PHONE: NUMBER-: 509 403 4300
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT== NA REAR= NA
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CONTRACTOR= K IMPE-i... CONSTRUCTION PHONE= 509 4:3::3 4:300
STREET=: 5700 N MARKET
ADDRESS= SPOKANE WA 99207
NEW= REMODEL= 'X ADDITION== CHANGE OF USE:-•:
DWELL. UNITE= i OCC1IF'. LD:= BLDG HGT:::: STORIES=
BLDG W x. D - x: SQ FT== SPRINKLER= N
REQ PARKING= 4 HANDICAP= CRITICAL.. MAT= iN
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL F,-••ti VN10500-00
ITEM DESCRIPTION QUANTITY FEE. AMOUNT
RE:SIDENTIAL. VALUATION Y 126.:00
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE.
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PAYMENT DATE RECEIPT::: PAYMENT AMOUNT
09/20/91 7 9 2 150-66
------------
TOTAL_ DUE= -00 TOTAL PAID= 150.66
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 150-66 150 66 ..00
-------------
150.66 i 50.66 00
PROCESSED BY : JOHN LARSON
PRINTED BY : ..JOHN LARSON
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