1991, 08-05 Permit 91004746 Fire RestorationSPOKANE 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 permiUapplication 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 `^ A Y� APPLICATION a_5 _S
OWNER OR AGENT /W l� DATE
PROJECT NUMBER= 91004746 ISSUED PERMIT DATE= 08/05/91 PAGE= 01
*vc7.mkh: ***#*a: #ie ie r. is nyr )eriir **kiz it tir PERMIT INFORMATION *yk * * yr dr •z kx .*xvr .r** * 7rxyr yr yr yr * yr.n yr *
SITE S T R-'..EET= 2120 N COLEMAN RD PARCEL_ 4= 1 s 3 ]-060
ADDRESS= SPOKANE. WA 99212
PERMIT USE= INTERIOR FIRE RESTOREATION
PLATO= 001566 PLAT NAME= MATHER'S SUB,TR.4&5 ASSES.Pi_AT
BLOCK= L_OT= TONE= UNK Y,IST.= E
AREA= 0001 7900 F' A= F WIDTH= 100 DEPTH= 479 it`,J'v:i=
OF BLDGS= 1 x' DWELLINGS= 1 WATER DIST =
7aOWNER = GELHAUSEN,L� ANDY E PHONE= 509 928 3854
Auurr t - F'LKAINECWAEY9I ir
CONTACT NAME= NOR —WEST CONSTRUCTION PHONE NUMBER= 509 484 4090
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
'1LS1319:')t*'1CA..:A..)(..RASLJlJt)l:*****A'Jt'IIR!t'JL****' BUILDING PERMIT 9G9:*K**Jt.P...R•.SI..R..7F.7S..k..Jl3l*'7t-*K'hil'***.*•l{*
CONTRA: T OR= NOR —WEST CONSTRUCTION
STREET= BOX 11873
ADDRESS= SPOKANE WA 99211
PHONE= 509 484 4090
NEW= REMODEL= X. ADDITION= CHANGE OF USE=
DWELL UN:i:TS= i OCCU-'. LD= BLDG HGT= ,STORIES=
Bt_.DG W X. D = X SQ FT= SPRINKLER= N
REQ PARKING= ;HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN /8000400
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 189400
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE Y 30.24
9l.h.aM*****lt*j{§r**tt•717E****lldkti6R'Yl'3E* * PAYMENT SUMMARY fi.A..A.yFP:1l9:#T:ftk:P:§i§ix:.y .u.P:'k74-deifh:•P: n111Y
PAYMENT DATE RECEIPTT PAYMENT AMOUNT
03/05/91 5328 22 .74
TOTAL DUE= .00 TOTAL PAID= 223,74
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT
223.74 223.74
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
223,74 2274,74
00
,00
f*•R.P..*.jF.Jl*****'P:fCll.)1..Il..Sl..p...**.JC..R'R'A**A*** THANK YOU .h..*•S13E9:31"Ji"JI iS'A.**- *3t******A'* —)*JI"-) .'...Y4