1990, 07-03 Permit: 90003127 Remodel y?Illw - - - -- - --- ' - - - Amiommuim~ ' *.
_
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 correctand athorize Sx County to proceed with processing. In addition, I have read u understandthm /wapsormwnsoumsmsmTS/woT/os
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 violateor 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 _____4:::2 ....A.....,....0 „1/42_,Lect..d' ,g)_ ____ APPLICATION 7 _ j ,.._ 9 e)
OWNER OR AGENT DATE
il| PROJECT NUMBER= 90003127 DATE= O7/03/9O PAc;F= ei '
ISSUED PERMIT
�
** **************** ******** PERMIT INFORMATION **************************« �
%ITE %TREET= ii5O9 E 19TN AVE PARCELO= 2854i —O90i
ADDRESS= SPOKANE WA 99206
| PERMIT USE= REPLACE ROOF OVER %UNROOM & PORCH |
/
PL T�= OOi7O3 PLAT NAME= MOUNTr, I I VIEW 2ND ADD
BLOCK= i LOT= i ZONE= SFR DI%TO`'
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 271,1 R/W=
4, OF BLDG%= i O DWELLINGS= i
�
� J PHONE= 509 926 7505
�h:� : � i1509 E 19TH AVE
A..xESS= SPOKANE WA 99206
11
CONTACT NAME= JAMES EAST PHONE NUMBER= 509 926 7505
1 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
i ******************************* BUILDIN� PERMIT ****************************
=
� CONTRACTOR OWNER
PHONE=
,
• NEW= REMODEL= X ADDITION= CHANGE OF USE=
• DWELL UNITS= OCCUP ID= BLDG H�T= %TOR�E%
! ^ =
BLDG W X D = iO X 3O %� FT= 3OO %PRI^K�F � = •••
| REQ PARKING= �HAND7CAP= CRI�I��' MAT= N
DESCRIPTION GROUP TYPE %Q FT VALUATION
----------- ----- ---- ----- ---------
��. '�„ . . �- 3 VN 300 4000.00
/ ITEM DE%CRIPTION CS!UANTITY FEE AM(7i!|HT
| ............................................................. ____ ______....___
RESIDENTIAL VALUATION Y 63.00 /
%TATE %URCHARC.;E Y 4 .50
****�*�************************ PAYMENT %UMMARY *********************** ****
1
/
PAYMENT DATE RECEIPT4.!: PAYMENT AMOUNT
07/03/90 3789 67.5O
------------
i TOTAL DUE= .00 TOT�L PID= 67.5O
�
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ----------- ------------- "
BUILDING PERMIT 67.5O 67. 5O .00
------------- ------------ ------------- ,
67.5O 67.50 .00 .
PROCE%%ED BY : FORRY, JEFF
PRINTED BY : FORRY, JEFF
**************** * ************* THANK YOU ****************************** - '.
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SPOKANE COUNTY PAYMENT VOUCHER NUMBER 113701
VENDOR
CODEI'
DATE t L ' 1 f 1 J ,
NAME JAMES J . EAST ^% --F- AGENCY BLDG . & SA`ETA'
- 1 - NAME
ADDRESS
E . 1 1 5 0 9 - 19TH AVENUE 41 i" f AUDITORS STAMP
# I
SPOKANE, WA 9920G i
11'1 ° -,.;'1`,..' (I it 1 u., r, .iii
'!y , iIlk,
` l a•11 "p e t PI' H�.y.,,' i I Lti.C�
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ACCOUNT DISTRIBUTION,ORIGINATING ENTITY (ALL VOUCHER TYPES) 0 1099 REQ'D ID# i'
LINE VENDOR ORGAN- SUB REV SUB JOB REPT BS DESCRtPTtON AMOUNT
FUND AGENCY ACT OBJ
NO. INVOICE NUMBER RATION OBJ SOURCE REV NUMBER CATEG ACCT
3L D0?SAFETY 406 030 0008 2210 02 REFUND 54 . 90
i
II
\, DETAIL DESCRIPTION
I, the undersigned do hereby TOTAL 54 . 90
1 30% REFUND ON PROJECT #90003127 ISSUED 7/3/90 FOR certify under penalty of perjury
1 1 5 0 9 E . 19TH A VE N U F, SPOKANE, WA
t 9 2 0 6 that sufficient funds have been
J J 8 CANCELED PER COPY 0 PERMIT A"�D LETTER ATTA If„D budgeted for this claim, the ma- TRAVEL CERTIFICATION
terials have been furnished, ser- I hereby certify under penalty of perjury
r {„ X vices rendered or labor performed that this is a true and correct claim for
c;`0 $63 . 00 = $50. 40 as described herein or contracted necessary expenses incurred by me and
fl- fl,'.',' X $ 4 . 50 = $ 4 . 50 for, that the claim is a just, due that no payment has been received by me
TOTAL 5 and unpaid obligation against on account thereof.
Spokane County or fund agency SIGNED
indicated above, that I am autho-
rized to authenticate and certify TITLE
INTRA-GOVERNMENTAL VOUCHER to said claim. DATE
SELLERS ACCOUNT DISTRIBUTION
ORGAN- SUB REVENUE SUB , o EXAMINED and ALLOWED
FUND AGENCY ACTIVITY REV JOB NUMBER RECEIVSETABLES
RATION ORG SOURCE ;SRC GATEGRPT .> ACCOUNT 11”"
CEt;,iTIFICATION DATE 19
•
SIGNEbN ; CHAIRMAN
SELLER CERTIFICATION -•
3,—�- i- ICE ADMINISTRATOR
I,hereby certify that the materials have been furnished,the services SIGNED TITLE MEMBER
rendered or the labor performed as described herein or contracted
for,and that the claim is a just,due and unpaid obligation,and that TITLE
I am authorized to authenticate and certify to said claim. DATE DATE 10/11/90 MEMBER