1991, 03-11 Permit: 91001002 Finish Basement 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 1. DATE /, — 9/
PROJECT NUMBER= 9100.1002 ISSUED PERMIT DATE= 03/11 /91 F'AGE::= 01
it•**Vit•9l*ri*•i{*it***9t•*********1k** PERMIT INFORMATION )[•)F**#**#fit•fit•b*h:N-**k•it•*#9t'##**h••R•it•
SITE STREET= 11917 RT. AVE F'ARCE::I...i:::: 33541 —....i 709
ADDRESS=.:: SPOKANE WA 992106
PERMIT USES: FINISH BATHROOM IN BASEMENT
PLATO= 003753 FLAT NAME:- MIDILOME 2ND ADD
BLOCK= l LOT= 9 ZONE= UR-3.5 D.I.S T:n:v: F"
AREA= I::'`•r:.y:::: F WIDTH= 85 DEPTH= 130 IK°:`wc::
4 OF BI...i1TxE:::. r :e: DWELLINGS= i WATER DIST =
OWNER:..: F�ARf t9, WIAHID :_I D PHONE= 509 455 9100
STREET= 11917 E 33RD AVE::
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JOHN CARL PHONE NUMBER==': 1509 53 6565
BUILDING SETBACKS : FRONT= N A LEFT= NA RIGHT= N A REAR= N A
**'R**R')t•h:'Ah:**h•**• * •!l h•1l•...*•*****3t•* BUILDING ERTE X
lPl! iIh t k h*] j **n JRi lh h bh { k t
CONTRACTOR=I A_:T•Or,::: WNEE' PHONE=
NEW= REMODEL= X ADDITION= CHANGE:: OF USE:::
DWELL UNITS= OC;i:;I JP. LD-- BLDG HGT= TORIES=
BLDG w X D ::.. X EQ F:'T':::: SPRINKLER=isNKLFF{:::: N
REQ PARKING= 4I-Ic NDICAP:: CRITICAL MAT'::- N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMOD::.L.. R....3: VN 1000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
RESIDENTIAL 'f'•!I._UAT.F.O Y" :tir.?.'i{;i
TATEI„Ik j•..I..I(•7RGL:. ( 4.50
COUNT Y' SURCHARGE 5.60
R•'*b:ai x• x:••x•**'k•**••;>:•A••u x** $:**•*•*3') PLUMBING PEF t9I !y *•h.•'P:•b.•**it*•A.*R..k.**.R**9:*'M:3'•R Y4•'P:'A:•lh P:P:•ii*
CONTRACTOR= OWNER PHONE-
ITEM
HONE::-i. TEM DE. E+'..L F•'T i.ON QUANT I T •T FEE E AMOUN I
TOILETS i 6.00
SINKS i 6.00
SHOWERS 1 6,00
is***h:*?i•fit•3t•k •********* p•#**ri* •*•k• PAYMENT SUMMARY #** •*3t• •**R•*3{Jf)tit•**3t•* • '*** u•fit•*
PAYMENT DATE RECEIPT : PAYMENT AMOUNT.
03/11 /91 1 1 :! i 63 . 10
................................................
TOTAL.. DUE.:-:: .00 TOTAL PAID= 63 . 10
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45. 10 45., 10 :.00
PLUMBING PERMIT 18.00 1 $.:0 :.t
63. 10 63„ .10 .00
0
PROCESSED BY : WE.NDEL , GLORIA
PRINTED BY : W E N D E L.., GLORIA
tt hi *A untfi ii Nra rn iihn#a ht*rik***RTHANK YC
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# _Use:
Dept. Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant )
Lock Box
• I .
r .
..
Engineer's, RID/CRP
Easements. • . •I•
Road Plans/Improvements
• ••
... • ••• •
. . . .
• . .
•• . .•••• .
Planning " . :Ponds._
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, • ..• -
• . • • • • •. • .
. . .• .•
. . . .
. • ••
Utilities Double Plumbing •
ULID
. . .
• .
•
Other
.. • . .• • . ..•
••—
••
•
• •
• .
THIS S.RACc FOR COMM RC.I/k.I.PLANS TRACKING,CERTIFICATE OF OCCUPANCY
, , • .••, .
• . • . . .
Date received for C/O prdc.essing: . Plans pulled for final processing: . • •••,' • •
. .
Temporary C/O issued' • • i Certificate of Occupancy issued:
Office file review by: • . Date:
Filed insp finaled by. Date:
Ninety days'after C/O i:Ss'fiAntd" • • • • • •"• • • •'• •:"." •• • •••
Owner/contractor called regarding the return of plans: Date:
Plans returned: . Received by:
No response from owner/contractor-plans destroyed: