1987, 04-13 Permit 87000931 InspectSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
•j .j: i,i +ni... %-F;c*#** oede e6.0.:-.9i 94 ri--) # ii ie
SITE ?lF':i:E =.
COLLINS RD
i": fl lDi"ESS= Sf-'1_li<Al`JE WA 99216
I:'
P t_; T ;: = 001
BLOCK=
—
AREA
t OF B DG _
IAL INSPECT I
FROJEC:T NUMBER= 8700091
DA fTE:= 04/13/8 PAGE:= 01
—. _I
1-ll �,:'I!11 ION `iF *?rt *ii iui it i,i 5�9+i ;n}�Si�Ti"di. tiE is ic.ic
PARCEL .a.__ 55: 3
1)EiNCF
PLAT NPME= H -LVORSON ACRES
LOT= 5 "ZC:NE== Ai;„S1_Ij; DIS t{=
n: DWELLINGS=::
,,iNE:.R= SIMl INS. DONALD R
TREET=- 610 N COLLINS RD
S^ DDRl::SS^- SPOKANE WA 99216
COW! i ri CT NAME= T_. i'I SA'{ I _IUI
BUILDING . r_F__
.hi**.*.yi..g. gi..SF:*d ?,i)idui-i-i----.-i.h..—.-- *0*it4i..Aid*Ni SPECIAL
i soN T R ;1_..I OR = OWNER
ITEM D__SCRIPTIOi'w
INSPECTION FEE
MINIMUM FEE ADJUSTMENT
'-1ONE=
-f D iN F :=:
QUAAN'T I i''f FEE AMOUNT
2,00
18.__
°ANY 'V T.01._A IONS NOTED ,^,S A RESULT OF THIS REQUE::,s TE'EO
INSPECTION WI :BE REQUIRED TO BE CORRECTED,'
t- a;:r. PAYMENT SUMMARY ioi0.0.x.*
t i.4
TOTAL DUE::::
PERMIT TYPE
SPECIAL._ INS PMT
GO
20.00
20.00
REOEIPTO PAYMENT A)i'iOL
1240 20,00
..00 TOTAL_ PATE 20,00
UNT AMOUNT PAID AMOUNT OWING
20..00 .00
dB00,n..d,.)0i:hjf-)0y);;.k ::i':i0:-00 i:ifit 9@ iGM: ;:i'