1991, 01-23 Permit: 90003115 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
I 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 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= 90003115 ''. ATF:.= 01 /27/91 PAGE= 01
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i. i i::. : i i'=:Ei::. T.. 11510 F 20TH AyE ! ti I'4f..:!:'I...:�::c 28541 -1512
A):,r:iF E::.,_' `:::: ,...-'uKANE::. WA 9•?j :`(:li
PERMIT USE= RESIDENCE W/GARAGE ,
t-•E.::A ! :,,..... 000992 PLAT i Wt•'!Mt::.::- GLEN VIEW ACRES
BLOCK= LOT= 12 ZONE= AGSUB DISTO= F
4 OF r_t, t G t=_ ., .' DWELLINGS=-
OWNER= ;., ,, ,-...O•N '. !:-n:" 7.'. - 7�i
t.: !"! A? .E.f;#..: !.:#..t:,t lti!E�.::: -141� ':r:: . . .•
• iDRE.SS:::: SPOKANE WA 99213
CONTACT i A!"iE::.= WEA: Ci•=t.!SB`r PHONE NUMBER.. :::f; ...._ ::1229
?:{!.?.E:i. T: , N,': ,_. , ):{At:K,; : ±-•!";k.}NT:•:: 30 LEFT= 6 RIGHT= 10 REAN- .. .:
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CONTRACi0R= : INC
NE !..09
926 5229
STREET- P 0BOX 13717
ADDRESS='r E: SPOKANE WA 99213
NEW=is! ;<:. REMODEL= ADDITION- t.,i".AfdI_•rE OF" +;. .. •
DWELL UNITS= 1 (i[;i:;'II „ E...T?:::: t:{#-,.iii HGT-.... ,^T tt.., v
BLDG ifi X D ::: ", SQ FT= 1000 SPRINKLER= jv
!;.i::.! PARKING= :,!.#"st••ND 1:t.:f.:#t-:::: CRITICAL MAT= N
DESCRIPTION _ R :, r TYPE a „ rE VALUATION
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BASEMENT :..! i:s..... ! ;l.:J'J Ja;14Y:4).
GARAGE !"!_ 't i`iv 484 3388„00
RESIDENCE FS' VN , 0ti0 .4•< i)00 l;it_1
2ND ._. _ ,.,,_, 3 ,,•., :•: 0. 2. .. y !•j
ITEM ' r ' _ R1iI ?; QUANTITY
rT ` T? rr
AMOUNT
RESIDENTIAL VALUATION . 491 „00
STATE SURCHARGE Y 4 ,50
COUNTY SURCHARGE Y 78, 56
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CONTRACTOR- C H .,: INC
PHONE= 509 26 5229
. STREET- 1 (:i i:i t::i%'. 1 ''1 r
ADDRESS- SPOKANE WA 9 213
ITEM DESCRIPTION.!.ON GUAN ! I. I ? FEE AMOUNT
GAS WATER. HEATER ER1 01 ' !,.)0
S ! t_, i" +Li I P<. r 0 0 1 0 r{T:..i I 12_00
GAS00
PIPING I� i0„00
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CONTRACTOR•::: H D- INE PHONE= 509 926 5229
STREET= P 0 BOX 13717
ADDRESS= 1 ^ ' : tr ? i
992.13
ITEM
Eyvr : :F . :_ 1 ? CQUANTITY
iaJ i ! g r
rEAMOUNT
TOILETS 3 18.00
SINKS -y
SHOWERS i 6,00
BATH TUBS 1 6,00
KITCHEN SINKS 1 6 ,00
DISH WASHERS '; 6, 00p
CLOTHES
WASHER 00
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 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 APPLICATION
OWNER OR AGENT DATE
t t I-i T N.UMBER.. 'p 4:1;:t::}.•,I '? 5 D h•i T 49'? : 3 P t•{ ..
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.• t.T TYPE f.. .. .. t.: 0 LI N T AMOUNT F•A i.:o AMOUNT
•{"O?UNT OWING
fI t.t., I). .NG PERM 5._,t: 0 c;_•x
t"t t::?.I Ira I' :IC::AI... PRf1IT •I't.'>n::t'.? "_��:. '.".i'•"i . ,r=:i
t I::a,t N:. :: :RM• I' rry r` k:)w 66 0 0 . 0 t:?
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P R 0 E , I: D BY : JUL...IE: HATTO
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SPECIAL CONDITION CHECKLIST
Project
Address: _ _____ _Project#______._ Use:____ _
Dept: Date: Condition: Init: Appr:
(in) (out)
De- pt.of Bldgs.
_.__. _ _— — Special Insp.Final Report
__ Hydrant( ) I
--- 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"""""""""""""1*
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: _________ a. Received by:_ —._ _— _No response from owner/contractor-plans destroyed:_—_ — -- — --