1992, 08-26 Permit 92006819 ShopI certify that I have examined this
and correct, and authorize Spa
provisions included herein and:
here; n or not. I understand that tl
give authority to violate or ca
laws regulating constructi . r
SIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTYDEPfAIRTNIENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
it/application, state that the information contained in it and subm fitted by me or my agent to compile said perm it/application is true
County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
to comply with same. AI I provisions of laws and ordinances governing this type of work will be complied with whether specified
Jjpqeof this pennilWapplicalhon and any subsequent inspection approvals or Certificates of Occupancy shallnot be construed to
nystateorlocal law regulating construction, or as a warranty of conformance with the provisions of any state or local
APPLICA
r vi ions ofaTION Q — 9
/// DATE UU
PROJECT NUMBER= 921.).;16819 IS UED i'f:_RMIT DATE=:: 08,12L,•'92 P%F.- %
PERMIT INFORMATION
SITE STREET== 17611 E IND'I'ANA AVE: PARCEi..O= 55073.082i
ADDRESS::= GRE.::ENAC'RE::S WA 99016
PERMIT USE= 12 X 20 ,SI -OP
PLATO== 002044 PLAT NAME= E'I_.AT'A" GREE:.NAC'RE.:S :i:RR.DISTRIC•
BLOCK=: LOT= ZONE= UR --3.5 DIST:.:::: C.
AREA= 00000000 F/A== A WIDTH== 6 DEPTH= 51 R/W= 40
0 OF BL -DGS=: 1 r DWELLINGS== i WATER DIST --
OWNER= JUMP, DUANE: PHONE= 509 226 i i 01
STREET= 17611 E:- INDIANA AVE:
ADDRESS= GRE.ENACRE:S WA 99016
CONTACT NAME::: DUANE .JUMP PHONE.: NUMBER= 509 226 i 01
BUIL..DING SETBACKS: FRONT= 600 LEFT= 20 RIGHT= 168 REAR=: 20
BUIL..DING
E'ERM:ET
CONTRACTOR= OWNER
NE=W= X REMODi:"L:=
DWE::L..L.. UNITS= 1 OCCUP. LD--
BLDG
._D=BLDG W X D= 12 X 20 SG; FT=
REG? PARKING-:: OHANI)ICAP=:
DESCRIPTION GROUP TYPE
----------- ----- ----
SHOP M—i VN
ITEM DESCRIPTION
-------------------------
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE.
PAYMENT DATE
08/26/92.
TOTAL DUE=
PHONE::::
ADDITION= CHANGE OF HSE::::
BLDG HGT=: i 2 STOR:TE:.0n
240 SPRINKLER= N
CRITICAL MAT= N
SCS ET VALUATION
_._......__....
-----------
2417 i920.00
QUANTITY FEE AMOUNT
-------- ----------
Y 45.00;
Y 4..50
Y 8. 1'J
PAYMENT SUMMARY
RE::CEIPT4
6979
PERMIT TYPE FEE AMOUNT
--------------- -------------
BUILDING
--.._......---------------
BUIL..DI:NG PERMIT 57.60
-------------
57.60
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: JOHN LARSON
all TOTAL_ PAID=
AMOUNT PAID
------------
57,60
------------
57.60
PAYMENT AMOUNT
57.617
---------------
57.60
AMOUNT OWING
----------- ----
.00
---------------
.00
-----..._...-------...—.._.00
THANK Y O l.I bi• i{;E jF # jti4 Yi j{ji' dt..;t. j{..k.;{..k..k..)(. j{..j{. j{..}F ji..}{. j{..y; .k..ji,. j{..ri. ii..p:. ji.