1992, 09-16 Permit 92007726 GarageSPOKANE 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
PROJECT NUMBER= 92007726 ISSUED PERMIT
DATE= 09, 16i'92 }AGE= 01
* * * $S J@ it} 5l jl yk 7k lh * * •it 1C * * !l !k it it * li: * * * * li• P � .• f •' J F `-i'-` - r I ` i 'V of 9{• 9k jr 9h 9t jt• 9+i 9{' !S• )t 'Jr •li: 9r 9t 9N yt 9k 9t fit: )•`. JG' 1h 72' )h 9r !r yi,•
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SITE ST REE i•= '1 i 0 ( E EMPIRE A 1i E PARCEi_ii•=• 45043,0708
--tDDRE .,SS= SPOKANE WA 99206
PERMIT US7=.= DETACHED GARAGE
L_rt T,,:= 00•107,C PLAT NAME:-• GRANDVIEW ACRES
.C<i....: ! . K _. L.. F.1 3 =:: .t:. t.! IY (+. = i i i'C --3 , ::? 4i .i. St O = �..I
�•Ar Ert_ ;= , A= E.. W t. D I rl:. , — •.,-,
:II: OFGLDIw �:`•= .:.: 4aiIhi".L_L.LNi_Yw - 'i WATER L-F. D11.0 f -•• I. Fi;1 t,i.E
OWNER:::. JACOBSON.,pLLOYD & Hf RRIETT
ST Rr �T�:: .4821 N AR:i�ONNE RD
r" DD`Ji':'r. SS = SPOKANE WA 99206
F HOI E= 509 926 6461
CONTACT NAME= LLOY:D JACOBSON PHONE NUMBER= i A
509 _ .w 6461
BUILDING SETBACKS: t'�I"RONT= 5 i_Et- 4 =• NA RisGHT= 5 Ri- r �'4:=
11 P: A: y¢ 7 N: )L )Y 9i 7{• H ){ jk u• yt; )t Y+: y{ i( Yl j( 3+: 3{• * iE ri k j{ 9+: 1h i ,• i ' „' PERMIT *****a**********************
iMON T RAC i OR= OWNER
N E':W = X
DWELL UNI Tam'
BLDGW XJ —•
REG! FftRKING.=
t'HON =
Oi_•CUF r YSLD�Y rILY 1= 10 i i O;,I1.':. e.)=
X „ 4 SQ 'T= 480 SPRINKLER= 1
•x•r3r-il'+!n?.LCfii'= CRITICAL MA { = r
DESCRIPTION ?ION GROUP TYPE SO FT VALUATION
---------
GARAGE ill-1 b'N 480 3840.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63.00
STATE SURCHARGE Y4'5.:J
RESIOErt { 1tiL_ SURCHARGE Y 11.34
Ji• 94 k• 94 J: tih 9+: 1k it 7l K !t 1i 1+: yC * 9R Jt YL 9F M 4i n Jl• 9{; r: n 9l P:• j( pi' 3•' {-t 1''i C:. I . i } I I I f^t 4 }!' 9C * •il fl ik 14. 9k * 7t 9k K 9l- ll- !l '1+: 7C %4- ll' P: 1i' 9?- P: !h Ji; ?t: It Y+:
PAYMENT DATE RECEIPT, PAYMENT AMOUNT
09/ 1 6 92 7809 78.84
TOTAL DUE= _etci TOTAL.. FAID= 78.84
PERMIT TYPE FEE AMOUNT AMOUNT ''AID AMOUNT ( OWING
BUILDING FERMI':' 78 s84 78 n 8.00
78.84 78.84 .00
PROCESSED is SSi ? BY: '3=ORR Y', J F F
PRINTED BY: FORRY, JEFF
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