1987, 07-08 Permit: 87002058 Repair Fire Damage rR
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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= 87002058 DATE=- O7/08/87 PAGE= 0i
*********ae***3 ***********•*** PERMIT INFORMATION * **•*** ****•**************ai*
SITE STREET== 11003 E 28TH AVE PARCEL:w 28543-3812
ADIDRE::SS=: SPOKANE WA 99206
PERMIT USE= FIRE DAMAGE REPAIR
PL..AT4= 001393 PLAT NAME== KOKUMO TOWNSITE. (COPY ]:N PRINT
BLOCK== 38 LOT= ZONE= AGSUB DISTO F•
AREA-: 0001 3000 F/A= F WIIDTH== 1 00 DEPTH= 130 R/W= 70
rr OF BLDGS= i 4 DWELLINGS= 1
OWNER-: CONKL..IN, JANET A PHONE= 509 924 4281
STREET= 11003 E 28TH AVE
ADDRESS= SPOKANE:. WA 99206
CONTACT NAME== DON HOERNER PHONE NUMBER== 509-••433•-6474
BUILDING SETBACKS :: I=RON T== LEFT= RIGHT== REAR==
at*****3 *********************** BUILDING PERMIT ****tt***************:ri*** •* •*
CONTRACTOR= NORTH SIDE BUILDING PHONE= 509 483 6474
STREET: 5708 N MARKET ST
ADDRESS= SPOKANE WA 99207
NEW-: REMODEL= X ADDITION= CHANGE USE=
DWELL UNITS= 1 UCCUI='. Li) - Hi._DG HGT:=: STORIES=
BLDG W X D = X SQ FT=
REQ PARKING= 4HANDICAP== SEWERS= Y HYDRANT:::: N
DESCRIPTION GROUP TYF.E SG; FT VALUATION
---------
RESIDENCE R-3 VN 8000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 99.00
STATE SURCHARGE Y 3.50
******************************* PAYMENT SUMMARY ************* ** ** x•******x
PAYMENT DATE RECEIPT;;: PAYMENT AMOUNT
07/08/87 2586 102.50
TOTAL DUE= .00 TOTAL PAID= 102.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 102.50 102.50 .00
102.50 1 0 ..50 ,00
PROCESSED SSED BY : WENDEL.. , GLORIA
x3i•u*•x* ••tt• •*•xp•****n*ai****•*•**••xtt***3 THANK 'i•Oi_1 *•*•*3•***,.****•n:•**•**ae****ai***•***•**•*•*