1991, 09-09 Permit App 91005633 2nd Floor AdditionSPOKANE COUNTL4DEARTIWENrOF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
.A509) 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= 9100563=3 APPLICATION DATE-= 09/09/91 PAGE=- 01
3f *3i•ii•** THIN IS NOT A PERMIT 3r3f•3E3i•3t•iG
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4913 N I:SENHART PD PARCEI...m:-: 664 -0412
ADDRESS SPOKANE WA 99216
PERMIT uSE= 7ND FLOOR R# S1:DF:NCE: ADDITION .•• BEDROOM & Ft THP0CtM
F'I...AT4 :: 002851 F'LAT NAME:=: WE L.I...ESt...E11 MANOR 4TH ADD
BLOCK= '' I...OT -= i 2 7ONE-: UR--3 . s DI ST N=-: F
AREA= 00060000 F/A=: F WIDTH 175 DEPTH-: 100 l /LI
4 or BL.DGS= •i ; DWF:L..L..INGS=: i WATER DIST
OWNER=
STREET:-
ADDRESS=::
TRAN, MINH VAN
4913 N ISENHART RD
SPOKANE WA 99216
PHONE:::: 509 928 2341
CONTACT NAME= MINH VAN TRAN PHONE NUMBER= 509 9 ?O 2341
BUILDING SETBACKS: FRONT=: EMS t._EFT== FXIS RIGHT= EXI S REAR= EXIS
M3i**3{*3t•3@343{•*3***•M3F3{3*4*3E3t4***k••it*3C3(*
REVIEW INFORMATION
***3i***3i•*3t•3t•3*•h•3*3****a:*x•il.3r•3t•3E3E
DEPARTMENT REVIEW COMMENTS APPROVAL.. COMMENTS
BUILDING PLAN REVIEW REQUIRED
HE:ALTHDIST NEW OR ADDITIONAL WASTE WATER
*****3k*3Y34.3i•**********3i•******3w*** BUILDING PER
CONTRACTOR:=: OWNER PHfiNE:::
NEW
DWEL.L.. UNITS= i
BLDG W X D =•- 18 X
REQ PARKING:
DESCRIPTION
RES— ADD 2F_..
is R
R—tip
REMODEL...=
OCCt.JF' . L...D==
'?7 St1 FT:
OUP
ADDI T I.ON= X
BLDG HGT=
486 SPRINKLER= N
CRITICAL... MAT:=: EJ
TYPE SQ FT
VN 486
:I:TEM DESCRIPTION
RESIDENTIAL, VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
3i•3c•3f•3*3i•3i•3r3k•**3E*3E3r3t :3i*3E3i•3*3k*3*3r**3f F'i..UMBING
CONTRACTOR== OWNER
ITEM DESCRIPTION
TOILETS
SINKS
SHOWERS
PERMIT TYPE FEE: AMOUNT
BUILDING PERMIT
PLUMBING PERMIT
140.22
24,00
-------------
i64.2
PROCESSED BY: JUL.IE SHATTO
PRINTED BY: JIJI..IE SHATTO
QUANTITY
Y
CHANGE OF USE=
STORIES =
VALUATION
9720.00
FEE AMOUNT
117,00
4.50
18.72
PERMIT**3{*3$*x•3t•3i*3k**3i•*3E**34***3i•**3F****
PHCINE==
QUANTITY F t= E AMOUNT
i 6.00
f 12.00
i 6.00
AMOUNT PAID AMOUNT OWING
.00
.00
.00
•i 40,22
24.l00
164.22
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LpT /2 floc/< -Z
40
1 SEN/tAR T COF/KT ,
497//3
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