1991, 12-06 Permit: 91008417 Residence SPOKANE COUNTY DEPARTMEN=T OF BUILDINGS
1 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 provisions of any state o local law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
1
SIGNATURE OF APPLICATION /'Z_
OWNER OR AGENT /�Y.t DATE ,--67/
PROJECT NUMBER=: 9-1008417 ISSUED PERMIT DATE= 12/06/91 PAGE=
**************************** PERMIT
I} FORMAT:F.ii4J **** . 3 .e*3ia** iir* it ii
SITE 7 RL:.ET=:. 12113 E. 38TH AVE
F'f1RCE::}... 33541 —9004
ADDRESS= ;;I--'CIKAirlE WA 99206
PERMIT i.1SE::= RESIDENCE I)E::NC:E:: ."' NATURAL. GAS
I"l...r1T4=:: 005026 PLAT NAME::: MIDILOME 6TH ADD
ARE E:t::::
4 50
i:1 F" I:t}._i,.Cf �. DWELLINGS=
f" W 'iT•H::: 84 .. DEPTH= 130 } } w .
�• ... WE::L..}...1:NGS=: •f WATER DIST -'• MCtDE}.
OWNER= :IRONWOOD HOMES DEVELOP CORP PHONE= ..509 922 :t� .
STREET= F' 0 BOX 141291 I , I
ADDRESS=
SPOKANE WA 99214
CONTACT NAME=:: JIM STEBLAJ PHONE:: NIJMBER= 509 922 4.141
BUILDING SETBACKS : }'RONT:::: 37 LEFT== 20 R:i.GHT:: 18
REAR= 55
........ . .
•,rieit•�rm:Ra•**•a*iik•***•it**li*•3 p:**'k:**:•ii••x•* BUILDING "
tF " iT n•a•'br•it•a•*ri•*ii r:•******ii•p•ii•ii•h:•ii**k***
CONTRACTOR= IRONWOOD DEVELOPMENT CO922
STREET= I i't ' 141291
PHONE= 509 4141
ADDRESS=:: SPOKANE WA 99214
NEW= X REMODEL= ADDITION= CHANGE
USE-
DWELL iJj�i:LT,a: f F'f'iiti+.:Ti::: �..+ i.i F'::::
c1i::i;i.1P . L D BLDG }
BLDG W X Ti :::: .: r _.,_., . !! STORIES=
is}�.chi PARKING= �. SPRINKLER= N:MF'}r Nt7h rAp.._ CRTTTCA}... MAT= N
DESCRIPTION CrROUP TYPE S Chi FT VALUATION
GARAGE ti f78
RESIDENCE "; VN -100 r_6:?�0 .t:itr
2ND FLOOR R--3 h N 726 0
:IT-EM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION ON 1' •
STATE SURCHARGE "7!;]4.;50
COUNTY SURCHARGE 88.64
k•it•H:•P.•*M:•it•*•n•*it•**N:**b:)k***7t•*•it***a h** I"I E c F'}A N I c I!L.. PERMIT 'n: :P•R•i+:ik 1[A M•iR••)r P:-i{••M:•',t•'lt.j{..it.:Y:•/{•}•:•}k•F•H:F•P•
CONTRACTOR:::. BARTON HEATING 6, A/C INC PHONE=aNI 509 922 5,`J;-.
STREET= 11816 Er`ANSF':t:E::L..T:iAVE4003 , . .:,•`i
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GA,t. WATER HEATEF, ........__
GAS }T is i .+�. '., i -10. 00
F Est>,i.1T}�- 1ti,, , ()0;iikij(I .i :j
.00
GAS PIPING 3 3.00
GAS LOG
i 10.00
R:*tt•*•if,•jf,*'M'M:ik P:.1!:.}('b•it'•A :Ii*ll.•*!t•'/{'*Y: :•..* Fi #rET d: PERMIT
n:•*;,:.u.R..s:'h•x*•x•**r•b:*•u:**•x*ar•***.p.*.p:R.*a
CONTRACTOR=tars•... c.ire F:•I t:.C? i-'i._I IhhINGTNf:`:
i C....:} T• MANSFIELD PHONE= 509 ::;,_? 5000
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
TOILETS
SHOWERS i 6.00
BATH TUBE KITCHEN SINKSDISH I 6.00
„
i t�:3 t'1,...::::: i
6.00
GARBAGE DISPOSAL i 6. 00
CLOTHES WASHER 1 .�.:•.
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
Pnd correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
rovisions 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
PROJECT NUMBER= 91 008417
7: �SUED t� t 1 E"F:' F'?::: t:
F'I i.T.T DATE.. 12/06/9 i PAGE-:: 0'::
*it*is***)!***3! :•it•!k*ri *9*7fR**NJk thk t"`Fd Y'1"t E:.IYT SUMMARY **i9 ) *iiii
i9iiii1iNk9 &9 3 ) 3 :u•
PAYMENT Da+T'E:: REi::E::IF'"t; P A r Mr::i T AMOUNT
12.'06•/91 9770 760:. •! 4
................................................
T0TAI... (.i E= ..00 TOTAL. PAID= 760. 14
i:::F{MIT _i•'r'F'E:: FEE AMOUNT rO
1 TPAID AMOUNT t:i;,.a T N
647 : 4 647.: i • 00
I lEt::hii'?st:AI... PRMT l ,` i?�1 3!.3.,l:,(`i i.,,-;
P[_I.JMBI NC; PERMIT 78.:00 78 00 ,00
760: 14 760 !Jt
Pi:°OCE SE::D B : WENF?Ei._ , i;,i...t7F<:I:fx
PRINT BY : WENDEL C;I...1:iFtIA
*•P•$:*A:•**1!•R•fi:3l'j!:34..A.R•i{•*h:'1r:X••ir.•:g•a•k 9l**R h:•k•*3F THANK L ��f . .. .. ... ....
!'���,� b•R•fl•A:P:n",�"1}'R�:-3{P:•R•9!''P:'/{•'P:i!•'J!•R•9!'�l•A•P••N:••f+:•P:P:3k i!••P'P:ik
SPECIAL CONDITION CHECKLIST
Project
Address: Project#—__ —___— _Use: —_
Dept: Date: Condition: Init: 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—w__. 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 CIO 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: . __--.-.--.-.__-.--
Plans returned: .__ ---_-___— -- — . Received by:
No response from owner/contractor-plans destroyed:
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