1992, 09-24 Permit 92007712 Residence, 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. 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 perm . p• ication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provnspf any s : to : r local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 9200771 2
APPLICATION
DATE
ISSUED PERMIT DATE= 09/24/92 PAGE= 01
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i'__iZ.! • � _.i'?;- °i"iA i 3. .N 3r3r3rtir3r3r*3E;r3E#3rtie3E3E#3r***3E#iE3Eie3E3E*
01 C7
SITE STREET= 11107 E EMPIRE AVE PARCEL_ = 45043. 48
ADDRESS= SPOKANE WA 997006
PERMIT USE= RESIDENCE 'W/GARAGE — GAS
PLA Tom-= 001038 PLAT NAME= GRANDVIEW ACRES
BLOCK= LOT= = ZONE= UR-7.3, 5 DI,s 1_
4 = i'•I
AREA= F/A= F W=ID i H= 96 DEr' TH= 115 R/W=
a OF DLDGS= 0 DWELLINGS= E WATER DST = IRVIN
OWNER= JACOBSON LLOYD & HARRIE T T
STREET= 4821 N ArGONNE RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 6461
CONTACT NAME= AA CONSTRUCTION PHONE NUMBER= 509 927 8613
BUILDING SETBACKS: FRONT= 40 LEFT= 10 RIGHT= 43 REAR= 25
**k**3E*****7 ******* >tai*3!******3E { I i NG PERMIT r k h 7e p*?7Yt C PE E i 3E E AE iE h i E iE
CONTRACTOR= A & A CONST & DEVELOPMENT INC PHONE= 509 927 8613
STREET= 5106 N NORTHWOOD DR
ADDRESS= SPOKANE WA 99212
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HG T = STORIES=
BLDG W X D = 43 X 50 SEA F T= 2560 SPRINKLER= N
REQ PARKING= ro•HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SG FT VALUATION
BASEMENT U R-3 VN 1 280 14080.00
DECK R-3 VN 160 800..00
GARAGE M-1 VN 420 3360.00
RESIDENCE. R-3 VN 1280 69120.00
ITEii DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 585.50
STATE SURCHARGE Y 4,50
RESIDENTIAL. SURCHARGE Y 1 05. 39
RADON MONITOR 1 19..43
SALES TAX 1 1..59
3E3E3E**3E t **3E*********3e******** **
MECHANICAL PERMIT
CONTRACTOR= BARTON HEATING & A/C INC
STREET= 1 1 S1s 6 E MANSFIELD AVE 0003
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
ION
3E#3E3k#3E******************. *
PHONNE= 509 922 9000
QUANTITY FEE AMOUNT
GAS WATER HEATER 1 10.00
GAS HTG EO,UIPC 1 00, 000>BTU 1 12.00
GAS PIPING 2 2.00
***** ************3E***3E3E3E3c***
PLUMBING PERMIT
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
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PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS _.. _ -- '18.00
—
SINKS
3
SHOWERS 1 6.00
BATH TUBS 2 12.00
KITCHEN SINKS 1 6.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
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
PROJECT NUMBER= 92007712
ISSUED PERMIT DATE= 09/24/92 PAGE= 02
******************************* PAYMENT SUMMARY *************%**************
PAYMENT DATE RECEIPT'
09/24/92 8147
TOTAL DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID
PAYMENT AMOUNT
818.37
818.37
AMOUNT OWING
BUILDING PERMIT 716.37 716.37 ..00
MECHANICAL PRMT 24.00 24.00 .00
PLUMBING PERMIT 78400 78.00 .00
818.37
PROCESSED BY: FORRY, JEFI-
PRINTED BY: WENDEL, GLORIA
* )e***it ********fb*****#: ***********
THANK YOU
818.37 _00
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