1990, 10-05 Permit: 900005147 Residence 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 '
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A ISSUED PERMIT
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ADDRESS= SPOKANE A 97206
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PERMIT USE= RESIDENCE . :T' ADD
is , :.-t•sf.._. 004369 NAME= #'t.±±.�?:1:t..{1 f%i F". •i H A.i'l
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OWNER= xlR3i INC P::ON F::= . 9'2 4 St
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STREET= 122120 E SIOUX CIR
a ADDRESS= SPOKANE WA 99206
CONTACT
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BUILDINGSETBACKS : FRONT= 30 RIGHT= • • i : : -.
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ALUATION
` DESCRIPTION TYPE 3333
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ITEM DESCRIPTION
8,333 3,•, ' ! AL VALUATION
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ADDRESS= '«i ir,,t:i''::?. tF,i fxi 99206
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CONTRACTOR=
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STREET= - 1212 . SIOUX ; • "
ADDRESS= SPOKANE x - 99206
ITEM DESCRIPTION
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QUANTITY ^(.F.__3333:....
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DISH tit f- ..#'i#..�t
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GARBAGE• ..,,,r. .-j �!
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SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that l 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
..,I;,tT{: •; ;:, . ,tet P A;•• 2
)t•!}i'.Ir;[•3?'it••ki :••.}•P•)Y ai ii•)'r }i 41:.**1f )f•*:k ..w j}, t.:[. 7 i1 i::. 1SUMMARY }t 1:•.'?'9:9!•.t?::`i:..:..J}..#!•9.:i''j;.i i tb i r 12.4`•1:41: `.9}.!•.t!•i.�r
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SPECIAL CONDITION CHECKLIST
Project
Address:
__________ —_-_._- Project#-----__._.----___
Dept: Date: Condition: 'nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp,Final Report__.___----_---.__-----_ ---- -_-- —___-_-
_____ Hydrant( )
__-- ---__--- Lock Box —__—
Engineer's------ — RID/CRP
_ _ -- Easements
-- Road Plans/Improvements__-- --.--_-_- _________
______ — Bonds
Planning___-- Bonds
Utilities___ ____ Double Plumbing
ULID
Other__.__
PHIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""""'""'.""*"*—**— `"
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:
Received by:
No response from owner/contractor-plans destroyed:_______
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