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1991, 09-09 Permit 91005633 2nd Floor AdditionSPOKANE COUNTY DEPARTNOENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 x509)456-3675 I certify that I have examined this permit/application, state that the information contained in it and subm rutted 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 REOUIREM ENTS/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 shal Not be construed to give authority to violate or cancel the pr isions of any state or local law regulating construction, or as warranty of conformance with the provisions of any state or local laws regulating construction. p APPLICATION SIGNATURE OF OWNER OR AGENTS« DATE-- PROJECT NUMBER= 91005633 ISSUED PERMIT DATE= 09/09/91 PAGE= r ####x'x•u"x'#'## '#'####u#x'#'#"x#'#'## PERMIT INFORMATION SITE. ETREE:T::= 4913 N I. SFNHART RD PARCELO= 36643-0412 ADDRESS= SPOKANE. WA 9906 PERMIT USE= 2ND FLOOR RESIDENCE ADDITION -- BEDROOM & BATHROOM PLATO= 00285i PLAT NAME= WE_LL_ESL.E:Y MANOR 4TH ADI} F BLOCK= 2 LOT= 12 ZONE= UR -3.5 DI.STw-= AREA= 00000000 F/A= F WIDTH= 175 DEPTH= 100 R/W= 0 OF BL.DGS= 1 g. DWELLINGS= i WATER DIST = OWNER= TRAN, MINH VEIN PHONE= 509 928 2341 STREET= 4913 N i.SENHART RD ADDRESS= SPOKANE WA 99:7.16 CONTACT NAME= MINH VAN TRAN PHONE NUMBER= 509 926 2341 BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT== EXIS REAR= EXIS BUILDING PERMIT CONTRAC'T'OR= OWNER PHONE= NEW= REMODEL= ADDITION= X CHANGE OF USE== DWELL UNITS= i OCCUP.. 1._D== BLDG HGT= STORIES-. BLDG W X D= 18 X 27 SQ FT= 486 SPRINKLER= N REQ PARKING= OHANDICAP= CRITICAL_ HAT== N ENERGY CODE=: UTILITY= DESCRIPTION GROUP TYPE SQ FT VALUATION _..._....._..... . ....--.-.._......------ ----- ---- RES ADD 2F R-3 VN 486 9720,00 ITEM DESCRIPTION QUANTITY EEE:. AMOUNT -------- -----.......__..-_.. ----------------------- RE::SIDENT'IAL VALUATION. Y 117.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE: Y 18.72 PLUMBING PERMIT CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------ TOILETS -------- 6.00 1 .' 00 SINKS ^ SHOWERS i PAYMENT SUMMARY PAYMENT DATE RECEIPT: PAYMENT AMOUNT 09/09/91 6357 164^22 - TOTAL.. DUE=: .00 TOTAL.. PAID= 164.2x' PERMIT T'rPE. FEE. AMOUNT AMOUNT PAID AMOUNT OWING --------------- ------------•-----..BUILDING --------------- ----- -- ----- - - BUILDING PERMIT 140.22 ------------ 140Q2 .00 PLUMBING PERMIT 24.00 2000 .00 _......_................._.........._..._..... ------------- i 64 ^ ....2 ------------ 164.22 .00 PROCESSED BY: JUL.IE:. SHA T" T'O PRINTED BY: FORRY, JEFF x..;t..yf..;t. #..x..}r..u..u..x..x..;,..;,. u..u..u..x.. i #... ; .u.:..x..u..u..x..0 #..u..x..x. THANK YOU