1991, 06-27 Permit: 91003628 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
lawsregulating construction.
SIGNATURE OF
APPLICATION /�C<�'+1/ �z 7.-c /
d
OWNER OR AGENT —' �-�-C �� DATE C / `
PROJECT NUMBER-„ 9 r ;-;.• r r•,c .. I t::D PERMIT ::i f= i F.K=: 06/::2"17/9i PAGE- 01
„..
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'' I i �^. '• t ;-!'1--?- �'»: 11920 �::. ;••t�rl I w,, F'f•;I":i�1:::1...'.. 33541 -9004
ADDRESS- F'OKfiNt::. WA 99206
PERMIT USE= REEIDENCE W/GARAGE
PLATO- 005026 PLAT NAME= MIDTLOME 6TH ADD
BLOCK= "z
.
AREA= ? . :: # WIDTH= ; _ DEPTH= f h.1 y% t
50
N „ - , _ i{ s. r , DWELLINGS=
•j WATER DIET JEt...
i.!WNER::: IRONWOOD HOMES . PHONE= .j,.)', 922 -'S ''''.
ADDRESS= SPOKANE WA 99214
CONTACT N3tE: , , ! 'E _ i I # RIGHT=PHONE Ni % ER= 509 922 4141
41
BUILDING SETBACKS : FRONT= h : _1 "T : 1L j ; REAR= :9
*4********* ******************* BUILDING i"1::.e't,S i ., i •1:•Jt•is•P:*•P:•1:'N:::•P:.:is 9:'Ai•A:•}:*i:'):::'.:*;tp•:a):-C:)t.'f);
CONTRACTOR-
, fR", tr: . "ON _ _ DEVELOPMENT : PHONE- > 7'r 922 4 ? 4
#
STREET= I•' #,_t !:t 3_;X 141291
ADDRESS= :,'POKANE WA t;.21 4
NEW=, . REMODEL- ADDITION- CHANGE OF UEE=
DWELL UNITE-�. , OCCUR. : D:
BLDG Is . STORIES=
BLDG 5 : r r SO . 1138
: .SPRINKLER=
-r : PARKING= •1�. s „v . 0aP• :YItE ,1, MAT=
i - d
DESCRIPTION GROUP .. ..TYPE
�.,...E I.. i 'Si'F-L.I i I -2,i,,; 1
t''r?..E:. ,.:i,,• '? . ��. . t'•
BASEMENT
MEt R—% VN*! 19 1 ....f) 10242 .00
GARAGE i - 1 VN L ' i3696.00
RESIDENCE R-3 VN 1138 50072.00
2ND FLOORt::. VN r:1:h 15906.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION 549.50
COUNTY EURCHARGE i' 87 .92
.... ....... ... .. ..:'* ,:: *•;.::.:);.::: }1.•J.:'.'.•.•;.: :•.:(.:(.:,;.f). H'::i•.'':aN 1•i-:Ai PERtaiI : 3t'**J*•f•/1:'*t>,'9t':**1''*Jt•'Jk *!�r)t'tt'11''N'*
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CONTRACTOR= BARTON HEATING r-. A/C INC plAnNF. >':i? 922 ...'.:106.
STREET- 11816 MANSFIELD AVE .8.003
ADDRESS= SPOKANE WA 99206
ITEM ?JE,: i.:R a.( I .E.t.i1"•1. QUANTITY FEE AMOUNT
t;= #
f,;t i'•?;;>' WATER HEATER i 10.00
GAS .}_is ,.,__...EU:I: `< 1 I:J0 . 000>tit %i i12.00
i I'. ,
GAS PIPING 3 3,o0
GAS LOG 4
10.00
******************* K********:'. E I I :o r N 2 w E.'I•:.I•';N I N:*;)i ii'•i�:**:1(••Pi.pi***•1)i**•1t:**h}•ii• U'P****if':Nr*
H. �'........... _.. ..
CONTRACTOR= UNITED
N• .. _ ., 0 , ?y;?'. . ..••• .. 5000
t.1 r'••?1. ! i-.x r I::L..L.!±"41:.t.`t.f'ti i„ INC i.: i..l t...i`•i?-.::
ADDRESS= SPOKANE WA 99206
1:TE::ii DESCRIPTION QUANTITY E.•,. AMOUNT
•
8 00
TOILETSSINKS .} 0
SHOWERS 1 A 00
f f 3 i I'i i t t 1l rt 6 .00
KITCHEN S!:i`3i 6,00
00
.E.
.. 1 IA'' : . i t. i (�
iRr°?E{BAG, DISPOSAL .; ,ti5.. t:1t:i
CLOTHES a: :H - i 6.00
:
I"'E...i.?t:.R D RAINS •{ ... .:00
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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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
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
3 -
Utilities — Double Plumbing
ULID
Other —
•
*******************************THIS 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:
Plans returned: .Received by:
No response from owner/contractor-plans destroyed:
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