1991, 04-17 Permit: 90005661 Relocate DuplexSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
'SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 REOUIREMENTS/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. 1 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 taw regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGEN V _ ii (Q L • L�
PROJECT NUMBER= 90005661
APPLICATION _1,-17
-9. /
DATE J
ISSUED PERMIT
*34ii*ii)t'*3i•)iii-tic313134-)4•):**ri*» iitii3i'**)i'tit F'E::F;M:ET
SITE STREET=
ADDRESS=
PERMIT USE=
BLOCK=
OF BLDGE=
OWNER=
.`.:Tit€::.E::"T"=
GR€::. €:: i'{(.'.`t(.:F4F:.,\ WA 9901ti..
RELOCATE
000000
00000000
DUPLEX •
I"`{...fht"! NAME:=
LOT=
€- 'A:.
DWE:L..€...:{: NG ;=
J E:: N S E N, MARK F;
17914 E:: X) Ei: S i`'i i::: T AVE
(:;F;EEi.€r`tCRE:S WA 99016
04/17/91
INFORMATION -r.' ii' 3i' ii' ii' * ii- 3i' )i' yi' ii- ii' tii- i - h: ii' 'ii ii' ii' ii- ii' ii•- >i- yi- ii' i )i' )i'
UNKNOWN
i"
WIDTH= 109 DEPTH= 96 R/W:::: 40
WATER DIST =
CONTACT NAME:::: i'.1(';F;K. -..Ji:::NSE:i
BUILDING SETBACKS: FRONT= 30 LE"F"T":::: :'y
ii h. y+: )4 )4 34' 3G . n... h} 3i• .. ii' 3i 3+} )4' -h. n... 3+... )i 'h. tii: ii' 3+.31 )+i 3i n. X:t t.J .i. {... X:) T. N (.,
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X Xi
REQ PARKING=
T i-€FitND:€: (:;AP::::
DESCRIPTION C;F;Cit.0{::, TYPE
FOUNDATION R-3 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
3f ti+i 3t} ii k' ii• tir: 31 3b 'n: )i' 3+. h} )f i@ 'ii• '}i' .. •h. ri Yt 3l' •h. tii 3 . 'ii' ..
{P'F- ONE:= 509 926 7124
PHONE NUMBER= 46. '.>,)c; 9+j- ;'i:: •1
RIGHT= 30 REAR=
... . i' . .
4�''r.:. Fitt .€. T )i• 3l' x )i ti+: ti; ;in' ai' y+; s )i• dt..Y+; ii.:)k di' * * •iE d+} -h: dG -it i+i iini 3i'
PHONE=
NE:=
ADDITION= 1..:i {ANG
BLDG HGT=
SPRINKLER= N
CRITICAL t"tA4tTn it:t'
SQ FT
T"
1340
QUANTITY
RELOCATION PERMIT
':f• -
Y"
(.J€.' (.USE:.::::
.UR:i:E_S:-.
li A L.. t.J F3 T :i: (:J N
2680 .00
E r'a9(l{.{N1.
54 ., 00
4 .50
ti;: *3* tii' tii- )i' 'Y'r 'i1 tit' tik 'ii' 'ii' ii *tii'
CONTRACTOR= OWNER PHONE=
STREET= 12406 E:: X>ESivfE::T" AVE
ADDRESS= SPOKANE:: WA 99216
:{:TEM DESCRIPTION QUANTITY F="F.:]:: AMOUNT
T
RELOCATION INSPECTION Y 50.,00
* 3k )i- )i 3i- k- )i' ii' 3i ii' k' ii' 3t 3i 3 . 3i' ii- 3E )+. tii ii' 3i 3G )$ )E 3k 3i 3g -)i )6 3i. ., a : •- , ,-- N - -- ,-. , -
` 1-t t"1 k:. 1 �{ t.3 !"i t` j fit i•t: ,f, k- Yi )t )E )f k' it' 'ii' 3i- tiP )k ib )4• tii' tiE 'iE 'ii' tii ii .}i. * )+i tii 'ii )4-tii' tie 3i'
PAYMENT DAT{:::
04/17/91
11/06/90
RE::CE:IPT",{, PAYMENT AMOUNT
21 47
7,)05
TOTAL X it.0E:.:::. ,00
PERMIT T'r`PE.
--
BUILDING PERMIT
RELOCATION PPNT"
FEE AMOUNT
67.14
50.00
................................
117,14
.14
:? . ,. o i.'i
TOTAL PA:i:D:::: 117.14
AMOUNT F'Fi:€:i) AMOUNT OWING
.14 .00
.00
117.14 .00
$i .), 'Ni 3i• 3t' » 3i• * 3i' 'H• •Pi 3+i 3l• 3i• •it t. 3i• 3i * 3+i 3i• ...Ai 'Yi 'P: •)+: $i h. P: 'P: •P: 3+i .a 3l' 3+: tib 31 )+. )i- tii * 3l' 3i til R• 3l' . 3i 3i• . )1• tit 'P.' ..til' til' til' r, 3i' •h. 'it' til .. * 'Y. tii 'ii *til * 3:-'h. 'Pi P. 'P: tii'
3i
PROJECT NOTE: T"1 1P:{:I = CONDITIONS i.ii:"i:;•T- = BUILDING
* 3l' 3l' 3t til * 34' 3i 3i' 36 3i- tii' )t 34 )i' 3f. » 3i' tii' 3+. til' 'P.' * M 3i• •A. tit' tit' 3l' 3l• )•.' :P: )4• til' 31; 'K: 'P.' 3+. 3i' 3t: 3i )4' 1•. )k )•. 'h.• til *tii' .. ')t.' til 3i' 34' 'h 3l' I:: 34- N:• » ,... ')•.' ..tit til ., til 31 . P. )1• til .. 34. *
NO OCCUPANCY t.Jl• r-^-1N(::"Y Ui'1T":€.i... PRE—RELOCATION INSPECTION CONDITIONS {-€r=}'+.:E::
BEEN CORRECTED
.
kJ DY: JULIE ,.>r-ir^t T "T"Ci
3i'tit'3)3i3i• tii htil**3i- ti+.31);:'N})+...3138'-'. - *:r:•. THANK ,
'!� (.I t.J Y+• )t- -lt• ti4• tii )i..p. 'A.• 3 r til tik 'K' 3i' l+i 31 '11' )1• )l)i• l4 YV '/1• )1' )$ 3+. )t' ti$ Y4 R 'R J$ ')Y 9i.