1991, 02-22 Permit: 91000591 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 corn.y 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 issuanc• this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the pr. '-'o •• 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
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RESIDENCE i:.!. {.ti ti'.AIa!:'
-PLATO= 004369 ._-. PLAT i.:ii ;'.if?ti..-- MIDItPME } !'-f' ftD !
AREA- 00000000 F/A- WIDTH- P7 DEPTH= :170
OF DWELLINGE I WATER DIST = MODEL
OWNER= 'EW-( INC .. _ • ... 09 924 Y40.6
ADDRESS= WA 06
CONTACT NAME= FRANK ?406
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CONTRACTOR- .';,REMY INC PHONE= 709 924 9406
ZTREFT= 12212 i` SIOUX CIR
ADDRESS= SPOKANE i,JA 99206
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CONTRACTOR= HEATING t.... '•y l.:'•Y 4t;'1
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EET= i723 E FRANCIS AVE
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ADDRESE- 9922
TOILETS
10 ,00
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12. 00
GARBAGE
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PROJECT NUMBER= 91000591 ISSUED PERMIT DATE= 02/22/91 PAGE= Oi
p*************************** PERMIT INFORMATION ****************************
SITE STREET= 12202 E 37TH CT PARCEL4= 33541 -9O04PTH
ADDRESS= SPOKANE WA 99206
PERMIT USE::: RESIDENCE W/GARAGE
PL T4= 004 369 PLAT NAME= MIDILOME 5TH ADD
BLOCK= T= F i5WZO E= UR-3.5 DI 4= i3O FR/W= �O
AREA= OOOOOOOO F/H= | n= uz DEPTH=
0 OF BLDG'S= i 41, DWELLINGS= i �� �uWATER DIST = MODEL
OWNER= GREMY, INCPHONE= 509 924 9406
%TREET= 122i2 E SIOUX CIR
ADDRESS= SPOKANE WA 992O6
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING SETBACKS : FRONT= 30 LEFT= iO RIGHT= i2 REAR= 58
******************************* BUILDING PERMIT ****************************
CONTRACTOR= GREMY INC PHONE= 509 924 9406
STR--� � ''-E T= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
NEW= X REMODEL= ADDITION= CHANGE 0F USF:=
DWELL UNITS= i O U = = STORIES=
' ET1602 SPRINKLER= N
REQ
BLDGPWRXIDG= 63 X O42N�QCAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
----------- ----- ---- ---_-AB
NT F R-3 VN 473 5203 . 00
BASEMENT U R-3 VN 756 6804.00
GARAGE H-i VN 692 4844.00
RESIDENCE R-3 VN 1602 70488.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT ~
----_-------------------- ---_---- --_ ��
RESIDENTIAL VALUATION Y 585.50
STATESURCHARGE J AR� Y 4.50
COUNTY SURCHARGE Y 93.68
****************************** MECHANICAL PERMIT *************************
CONTRACTOR= R & R HEATING & AIR COND PHONE= 509 484 1405
STREET= 1723 E FRANCIS AVE
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
` ------------------------- -------- --- -��
WATERHEATER 10.00
GAS " QUIP< i00, 000>BTU 12.
00
I�� � 3 3.8�
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GAS LOG j
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PIPER PLUMBING & HEATING PHONE= 509 534 6986
STREET= PO BOX 3992
NE WA 99220 ADDRESS= SPOKANE
ITEM DESCRIPTION QUANTITY FEE AMOUNT
| ---------------------- -------- -
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TOILETS ^
SINKS
4 24 .00
SHOWERS 00
UBSi2^2
2 i2.00
BATH L
KITCHENSINKS j 6 .00
WASHERS DISH 1 6.00
GARBAGE "^"' 6
O�AL i 6.00
OO
CLOTHES WASHER i j 6^6OO
FLOOR DRAINS ^
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INSP - ID
DATE
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
_
Temporary C/O requested (y/n) Certificate of Occupancy issued:
Received application: By:
Approval granted:
By:
_
Ninety days after C/O issuance: --________
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor - plans destroyed:
N _____
Notes:
_^
PROJECT NUMBER= 91000591 ISSUED PERMIT DATE= 02/22/91 PAGE= 02
********************** ******** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
02/22/91 830 814.68
------------ �
TOTAL DUE= .00 TOTAL PAID= 814.68
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
BUILDING
PERMIT 683.68 683 . 68 .00
MECHANICAL PRMT 35.08 35.80 .00
PLUMBING PERMIT 96.00 96 .00 .00
---_--------- ------------ --------_---- �
814.68 814.68 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE JHATTO
******************************** THANK YOU *********************************
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
—
Conditions to check: Conditions resolved:
Temporary C/0 requested (y/n) ------ Certificate of Occupancy issued:
Received application: By:
Approval granted:
By: __
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor - plans destroyed:
Notes: