1987, 08-14 Permit: 87002631 RepairPROCE%%e-77: 4ENSP-.0KAWZ'0UNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
***************************** **************************
(509) 456-3675
1 certify that I have examined this permit and state that the information contained A A and submiNd by me or my agent to compile said permit is true and correct. in
addi0r, lhave read and understand the INSPECTION REQUIREMENTS/ NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this typ 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 Cert�rfmica es of&ccupancy shall not be con d t i ve authority to violate or cancel the provisions of any state or local law regulating conowdion, a as a
SIGNATURE OF APPLICATION
DATE
OWNER OR AGENT U
PROJECT NUMBER= 87002631 DATE= 08/i4/87 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i1124 E 3i%T AVE PARCEL*= 28543-55ii
,ADDRESS= JPOKANE WA 99206
PERMIT USE= REPAIR FIRE DAMAGE
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
PLATO= 001393 PLAT NAME= KOKUMO TOWN%ITE (COPY IN PRINT
BLOCK= 55 LOT=
7 ZONE= AG%UB
DI%T*= F
AREA= 00800000 F/A= F
WIDTH= 80
DEPTH= 130 R/W= 70
4 OF
BLDG%= i 0 DWELLINGS=
i
AMOUNT AMOUNT
PAID
OWNER= CARNEIRO' JOSEPH R
PHONE=
509 928 7740
i20.5O
STREET= i1124 E 31%T AVE
-------------
------------
i20.50
ADDRESS=
SPOKANE WA 99206
PROCESSED BY: WENDEL, GLORIA
CONTACT
NAME= JOSEPH R CARNEIRO
PHONE
NUMBER= 509-928-7740
BUILDING
SETBACKS: FRONT= LEFT=
RIGHT=
REAR=
*******************************
BUILDING
PERMIT ****************************
CONTRACTOR=
OWNER
PHONE=
NEW= REMODEL=
X ADDITION=
CHANGE USE::::
DWELL
UNITS= i OCCUP. LD=
BLDG HGT=
STORIES= i
BLDG
W X D = X %Q FT=
REQ PARKING=
*HANDICAP=
SEWER=
Y HYDRANT= N
DESCRIPTION GROUP TYPE
SQ FT
VALUATION
----------- ----- ----
RESIDENCE R-3 VN
-----
------------
iOOOO.00
ITEM DESCRIPTION
QUANTITY FEE
----------
AMOUNT
-------------------------
�
RESIDENTIAL VALUATION
--------
Y
ii7.0O
STATE SURCHARGE
Y
3.5O
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
RECEIPT4
PAYMENT AMOUNT
0804/87
3246
120.50
TOTAL DUE=
.00 TOTAL
PAID=
------------
128.5O
PERMIT TYPE FEE
---------------
AMOUNT AMOUNT
PAID
AMOUNT OWING
-------------
BUILDING PERMIT
------------
i20.50
i20.5O
-------------
.00
-------------
------------
i20.50
120.50
-------------
.00
PROCESSED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************