1992, 10-30 Permit: 92009365 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
i' 1 W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260 I
(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 JJJ t-( DATE
/ ' .. . .mss a
411
PROJECT NUMBER= 92009365 ISSUED PERMIT DATE= 10/30/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 15827 E 21ST AVE PARCEL4= 45255.9054
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE — NATURAL GAS
PLAT= 005187 PLAT NAME= RIDGEMONT ESTATES NO. 4 — 4TH
BLOCK= 2 LOT=S 8 ZONE= UR--3.5 DIST;
AREA= F/A= F WIDTH= 93 DEPTH= 125 R/W= 50
OF BLDGS= ; DWELLINGS== 1 WATER DIST = VERA
OWNER= DOUGLASS, LANZCE G PHONE= 509 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= LANZCE DOUGLASS PHONE NUMBER= 509 489 4260
BUILDING SETBACKS : FRONT= 30 LEFT= 8 RIGHT= 10 REAR= 42
******************************* BUILDING PERMIT ****************************
CONTRACTOR= DOUGLASS, LANZCE G PHONE= 509 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= i OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= 2862 SPRINKLER= N
REQ PARKING= aHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1300 14300.00
GARAGE M—i VN 792 6336.00
RESIDENCE R-3 VN 1300 70200.00
2ND FLOOR R-3 VN 810 21870.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 685.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE V 123.30
RADON MONITOR 1 19.43
SALES TAX i 1 .55
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= WAYNE SMITH HEATING PHONE= 509 328 4431
STREET= 102 E NORA AVE
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS WATER HEATER i 10.00
GAS HTG EQUIP< 100,000>BTU i 12.00
GAS PIPING 3 3.00
GAS LOG 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= GOLD SEAL MECHANICAL INC PHONE= 509 535 5944
STREET= 5524 E BOONE AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 3 18.00
SINKS 4 24.00
SHOWERS 2 12.00
BATH TUBS 1 6.00
KITCHEN SINKS i 6.00
DISH WASHERS 1 6.00
GARBAGE DISPOSAL i 6.00
CLOTHES WASHER 1 6.00
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92009365 ISSUED PERMIT DATE= 10/30/92 PAGE= 02
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT PAYMENT AMOUNT
10/30/92 9656 952.78
TOTAL. DUE= .00 TOTAL PAID= 952.78
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 833.78 833.78 .00
MECHANICAL PRMT 35.00 35.00 .00
PLUMBING PERMIT 84,00 84.00 .00
952.78 952.78 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : JOHN LARSON
******************************** THANK YOU *********************************
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