1990, 07-27 Permit: 90003527 Residence SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 t rovisions o 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 " / C�)
OWNER OR AGENT a-ze ( C;ly t DATE /
P R0..!i::C T Nt.li•ik+t::R_•• 90003 .7 DO ,:,- :l t :.;.:;fir'/. . PAGE=
mli
34*9!•*3!••r:•h•i!•*N•9t•r:i!••}!-#i']r fr it*it ik aF ii ai•ii•Yt•it lt• I-'1=:i-!'i'I.E T .I.m i•'17 i'':t"!A .t,tr• n•i!•jk*it*i!•#*it iE ie*ar n•**•u•x**•it it)f'ri**it
SITE STREET— 11313 E 42ND CT PARCELO= 33543-1516
ADDRESS= SPOK ANE WA 99206
PERMIT USE=:: RESIDENCE IAI;`C;APAc;E::
PLAT„:::: 003423 PLAT NAME= FOREST MEADOW 2ND ADD
I:{i...(:I(:;K•= 1 LOT= 16 r'C)NF-: SFR DIST4=
F:.
AREA= 00000000 F/,t-: i::• WIDTH= DEPTH= i;/W::_ '.':}i:;
0 OF Tlt...rf;S-: 0 DWEI...I...:i:NGS-: i
OWNER=: HOUSER, JERRY i... PHONE= 50 �, 924 8710
STE:'i:-:E::.T. 1906 N JI II...FOUR R
ADDRESS= JE:::FOKA WA 99206
CONTACT r•iC•T NAME.:::: F''f-1NA(.YnS CONSTRUCTION PHONE NUMBER= 509 409 900c
:CsI.I:I:i...D.INC.; SETBACKS : F'RON'T'== 40 L..EP'1'::- 5 RIGHT= 5 REAR::. 75
3t•*•h:•'&k•n: •**ii*>t; :•h:*ii h:•*•k•u:***k•;k•N:••h:***ii
I:i I.I l:I...I.>1.id C, PERMIT ***4*************************
,., c;o • CONSTRUCTION PHONE= 50 489 9009
CONTRACTOR= F''r�t�ir•`r'Yt..,`.;
STREET= PO BOX 28064
ADDRESS= SPOKANE WA 99009
Ni:::Id=: :x: REMODEL= ADDITION= CHANGE OE USE::::
DWELL UNITS= 1 ft LI It L_D:-. BLDG i'irYT•:::: STORIES=
BLDG W X Ii = :k. EQ FT= 2770 SPRINKLER= N
REQ PARKING= 41-.1-4A N D I r AP_' Cit:I:TI(::AL_ i"iAT-:: N
DE:EC:RIP'T:1:0N (:7RCUJF' TYPE S&! FT VAL...I.IA•( ION
I:BASE:ME:NT F' R-_3 VN 660 7260.00
I:tASEM1-.NT• I.I F{:'•-:'h ittd 600 5400 t0
I.YARAGE:. M-"1 'VN 101 :. 7091 . 00
RESIDENCE R.._3 did 1305 60940.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL. VALUATION T'.i:t:ii`d Yr' 554 •.00
"..f r"I'I I::: ,'I_ii CF'inR(:;i:" •` 'ti ..`.y.
COUNTY SURCHARGE `i' 88 64
,.
ii•ri•3i•*i�}i�i•ii•�!�•'r::•iE 3i•�•at•i>:•at•aE�i�i•�?•�?'•id 3r�!•3r�!•�!•it ii*# I 1 I'.t:1"i t}i~(•i:l.'•f••1 i... ._.. . f I ' ' ***' ********'%.***m**it n•*ar n:
CONTRACTOR= F'At4A(vc)s c::c:INS'T'R'I.JC''T'ICItN PHONE= 509 409 009
STREET= PO BOX '' :it:i,-,4
ADDRESS= SPOKANE WA 99009
ITEM DESCRIPTION QUANTITY FEE.: AMOI.JN•T.
---
GAS WATER HEATER 1 1 !:):00
_. y
GAS i..IG^I i::.I,�U I.i.:.. 1 !;;1;; , ,'j l.0>i.'.i i `..i 1 12 .00
GAS PIPING ••:e
GAS .; 4 10,00
jP.*.jj...*****1{P:11•*j(•P:**•P:•i{•P*}l•***•A**•P:• F''i...U M(:f.I.N G PERMIT 'P:*****P:9:* •***h:•A:. •;t••;l•*$:N•:P:91....A:*•Y:*•!•.•*
CONTRACTOR= I-'ANA(s(:f.' CONSTRUCTION PHONE=.=:: 5.19 489 9009
STREET= i::=t:) I•:t i:)X 28064
ADDRESS= SPOKANE WA 99009
I'T'EM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 3 18.:00
SINKS ::SHOWERS 4 18.00
12.00
BATH TUBS .T 6 .00
KITCHEN SINKS 1 6.00
CLOTHES IdASI"II::.t', i 6.00
FLOOR DRAINS 1 6:.510
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90003527 DATE= 07/2'7/90 P A 02
I SSt.ii=c T..E 11:i:'T'
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,�-��•,�'�',�'a!•;�x�f'�•�'�-,�,�-,�;�•r�•�-x•;�•ae-yt ai;!•n x a••�N;��•�' •�w�x►I::.i�. . ,•...ri"i t�i ;'Y
t: AYME.:NT DA 1'r:` RECEIPTO f'( ''i'tfEi 'T' AMOUNT
07/27/90 41301 760 14
TOTAL DUE:= 00 f j ..(I? I r`!L. I-`A.i.I.i:::: 760: '1 .4
P I:::I:;,MIT TYPE E:'EE:: AMOt.ii''T' AM0t.il T PAID AMOUNT OWING
BUILDING I::.Et M i. I 647. i 4 647 n } 4 ,00
Mt (::i•It•"•-,N:I I nl._ ,I;MT 35: 00 ,n'y .. :. '.iii
E:`I...i.l i"i+: I N G i•'I:::r i:E T• 8.,t`,0 '"r r2:.o o :i f"i
760., I s 760. 14 ,. 00
F'i:'t(:1(::E:.',iil.D BY : It.iI...TE AT'r0
RisNT'ix:D BY : I::'ItRRY , •_iI:I::'E:'
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