1991, 01-23 Permit: 91000163 Residence r
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 t - . •visio of any statelocal law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF alk APPLICATION / — 2_,--2_— 9/
OWNER OR AGENT / DATE
PROJECT NUMBER= PAGE=
ISSUED P Ri"`+.:F1
. .. . b} rt: ] ) i .. JJ . . i ) } h ?. } Y PERMIT
- : ! 1 t " t R rt . : 9Nh 3i 1 t } ' ) 91 ) i : i.h .1.,.v :
SITE STREET= 11317
r ^ .. 4.. 33543-1517
." - i, : . ,v: a x N?F- WA 99206 92 )rPERMIT USE= t..,t...i , ,.,.. )t•t..
PLATO= , : ; , PLAT afi - FOREST i"ri " A 7Jj
- ��1 ) ..
,,-t.. ... ,..: .... t ' ; ;: -r ,t.... DEPTH= •i "j<'! I:/i,.i :: iy
..,F "., .„ 4
:It4NE::.Cti:s: .I:MI+I::'i:(.?51'I"i'+1 . KIM i-'I••I(..iNE=: 000 000 e:)i)C.s`'
STREET= 11317 �1I:` 42ND CT
ADDRESS= SPOKANE WA 99206
CONTACT
O $, _ NAME= :iILEWIS
LW+ . PHONE NUMBER=
5-( 92 0655
_
BUILDING SETBACKS : FRONT= , : LEFT= RIGHT= 7 : 3R- ._ '
********)********************K** ;;L.l a.L..i?.?.?til Lz ?•'.::.I•;m T ? *-)t•i\••jt•;R:-j};*9?••n:9t:1t-!_:*it-A:•!,:sk•n:•P:9=:•}_:•A::f•.•4k•J?••s=:9=:*
CONTRACTOR=
ONTRl _ T( E : Pi <rr , STRUCTURES 'iIE 509 927 0655
STREET= i}: ?`:J i"i I..i E.:.t.::l:,i-d RD
J
ADDRESS... SPOKANE WA 99206
UNITS=
NEW=
? x- aREMODEL=
. % iifL . 1 iII ? cN- CHANGE OF= U E:
? 1E _ _ ` ( ( :Lt : ? 5 : BLDG IGT _ STORIES=
BLDG i,.i `;_' L .•-• • X SQ FT- 1150 SPRINKLER=
: ' -R 1NK IE - ,
REQ PARKING= A ? DICf ". : ;. TI " �L � `
T . N
DESCRIPTION GR(:,iI_iI,: TYPE SQ ET VALUATION
BASEMENT ,,•,,
GARAGE ?,?...1. VN 864 ,'t.)4 :l.>?.j{;i
RESIDENCE ) ,:060 ;)_:i
2..`t D FLOOR
.-!: p .." :.•., _ 800 17600
::..?.?: I:'?...i.)l.i,,• pt....•..} 5:t'+; •,?.j?.J
ITEM DESCRIPTION (:,;t.,ANT•:E:_(.Y (::(::E:. AMOUNT
RESIDENTIAL VALUATION Y572-00
s 00
STATE SURCHARGE Y
COUNTY SURCHARGE T: 91. . 52
E: .•.,,•r•:., p... .r•r•"•
.,..:t=i);:'p;•j!j•j,;•�)'r)l'9!•ir:i=N�J-•)7 t=�i Y4 li.•ji.j!;.jf.,i.:J(. }p�,.7y.st}L-1!r 3i'y?-Jk 1�'??::.f..•I'�(•'!?''d.?.L.:i•t?._ ?''E:.I'�:?"?.t. ! ***************K*********:*
CONTRACTOR= to a THEATING a ck AIR . ?'d. •.. 509 535• '
27
STREET= •!••• i„i SPOKANE BOX 11402
ADDRESS=�'S:.. I''t.?K ANE Il iA 99211
.
ITEM (),...:.:(:::rt:1:l.'TI(:N QUANTITY FEE AMOUNT
GAS W{tTI::.I'1'. HEATER i 10,00
tr l-, , I"I T tr E ?.;I.i.i:t' t ? 1.?c?1 ?:?t'J ? : .`,
GAS PIPING —
G f`i S LOG '? -10,.00
:'.'d........................... ........N........N.... .. .... .. ............ ............ .....
!t P.>L':.•P:•R•??'-)t•1.9t lk 1?-P:P:P:')_:9?..J,.•)k.)!..'�..?:9=:'fE:4')h P:-A:-P: i''i...+..i?Wl{•,{-I,tV:_. I••+I::.I"•�?"i a. ? ini�r-!!i-)C•-A:�Nr•)=i•Pi 1i••Pr-):'Ai�)k i8-A:.)!..p..)?•9?--F:i`=:8k-P::k:'?•.n:?t:'.4-:":•1�:
CONTRACTOR=. MUELLER PLUMBING ..'r, HEATING .. :..t t..i?'`i t:.:::: ... ....iJ ..... .
+..i'i
STREET=
,.. ..-I•.... :if. •i1 :' 3:•,•.D . ,E.•
ADDRESS=•• ERAD ii..E i.It-1 9'90.
ITEM
tt : ?EC I "T , id QUANTITY YE EAMOUNT
,00
TOILETS 1 r•;
SINKS 'S .1." . ?.j,'•:
SHOWERS i 6,.00
BATH TUBS i. 12,.00
• T•I�tHEN SINKS ,f' _`)_:)
KITCHEN
DISH WASHERS ? .?)t•:J
• „
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
. .
. • .
. .
• -.
Engineers RID/CRP .
Easements
Road Plans/Improvements
Bonds
•
Planning • • • Bonds.
Utilities • Double Pfumbing
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:
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
R 0:.'_•:.f.. , f.?i. i i.E : ? :'.'' E 6 3 D f"#•`t-i::.:::: :;;'r j i`.- 9'i PAGE::r. ;
Y:,t:"NT � ,M:y Fl.!::
9F 96'Ni'Hr'Pi iE i':a'i:'.-iei-)e•Se;iti 3s-P:Nr 4•.';t!•;:,;•i¢;fi•4E—*ai•)h;�i•;ti•j!••}i••ii•;n• ,.:A't 7 , i'�: I .•.!!r'!#!•a /l• iGi in•Jai iii
1::'AYMENT DATE ,:Et... PAYMENT AMOUNT
O . 2.•.'}/ 9:i . c,°' f 8 1 .:0 2
.......................................:........
TOTAL T AI... " :.?:r?:} TOTAL AL F t"I {.1,J... ._'l 02.
PERMIT ..,..i i'I... +i"tI..It'.i (jlM0l„1N { :.:r::! 1.D AMOUNT {..)W I.l~'?�.
Bi1.E!:DI.Ni..r F'E:RMI: - 68,02 66 8 . :yj':F ._�`)0
i {Ito ..,RN:-. .'?5 0 l:> :'!'.:%:.?”+:i .:}t}
:. I I..;ieI.NG "'`I::.i":{yeI.1 7?:{.: 00 78 00 :00
(81 .. ..2 ,'8 1 ..'l`.• 00
pt'{fr{::. E:D B : WENDEL, G OR ; A
1='RI.N I•E::0 I' ' : LIE::NJ DEt..., GE.ORIA
:..:,•.:;.:�.:•.:•.::s:. •.:•.:..... .. ............... .:.:....�.... .+.:•.:::,t THANK
#.i.,N i' ':' �:.jt:?�.:Pi P••lt•Vit•!i•jr•A.-Hi?i••Pi P:-Se;:yi;.jf;•i�;.;..j�,,n, •)(- -if:-X.j}..j4•i:'i i k:}(•
.?P. !k'a:'?�:'}:'P:'1?''P:'??'9?•-P:•P.?-.P.!+:'?t•?:'!k;F:9. d. !.•,? � �i{••#,•..t. , ,..?t.?
SPECIAL CONDITION 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 R|D/CRP
_—.
Easements
Road Plans/Improvements
Bonds
--'
--'
--/
Planning ! _— __| Bonds
_-'
--'
--'
-- '
_-'
Utilities --' Double Plumbing
ULID
/ --
Otho
/ --
(
-- /
^~~~^`^~~``^^~^^^~~~~~^^``^^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE 0pOCCUPANCY ONLY'`~~^~~~~~~^~`~^~~~~```^^
oate received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: ___ Date:
Filed inophno|ndby: Date:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans. Date:
Plans returned: Received by:
No response from owner/contractor plans destroyed:
. .