1991, 05-07 Permit App 91002394 AdditionSPOKANE COUNTY DF,,fTINIIIENT OF BUILDINGS
W. 1303 Bk.. '+)WAY 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
f.: f;. IUE( iNUMBER- 9100239•4 PPL_ ICAT ION DAM 05/0 r/91
:[
*:***** TH•S_ TS .NOT s A PERMIT **-****
PENALTIES WII...I._ BF: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET W 9502 E I: ROADWAY AVE F:'ARCE"L O= 1 "r543--0209
ADDRESS.. SPOKANE WA 99206
F'EFd1IT 1.1SE-:: RESIDENCE ADD -- BEDROOM R BATH
PLAT:=
BL.00K=
AREA=
4 OF .+L.DGS=
OWNER:-
STREET=
ADDRESS==
004 835 F'L_AT NAME=
L. O T
F/A:-
2 y DWEL..L.INGS
E
NIERENBERG, EDWARD
9502. BROr DWAY AVE
SPOKANE WA 99206
(JPP . TR .. 1 --354
ZONE:= UR ...3. 5
t- WIDTH-:
4 WATER DIST
PAGE = 01
DIST4= F:
DEPTH= R/W::-
PHONE:= 509 922 6089
CONTACT NAME= KEN CHOL.EWINSKI `, PHONE NI.1MBER= 509 926 7012
BUILDING SETBACKS: FRONT EXIS LEFT = 51,0 RIGHT-= NA REAR::z EXIS
C
i *** **#•ik* ***********]i******* REVIEW INFORMATION •******** *•*** •**********
DEPARTMENT
BUILDING
BUILDING
HEAL_THD 1. T
REVIEW COMMENTS
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
NEW OR ADDITIONAL WASTE WATER
*•********•**•********.y,1,•r:•.***.*.*•**** BUILDING
CONTRACTOR=
STREET:-:
ADDRESS=
NEW= 1
DWELL UNITS=
BLDG W X D =
REQ PARK:i:NG=
CHOLEWINSK I CONSTRUCTION
4210 N MARGUERITE RD
SPOKANE WA 99212
REMODEL.
i OCCUP. I._D=
12 X 28 SQ FT=
4HANDICAP==•
FERMI: 1
APPRO'VAL... COMMENTS
***************•***•**********
PHONE- 509 926 701 2
ADDITION= X
BLDG HGT=
336 SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT
RE:S ADD R-3 VN 336
ITEM DESCRIPTION QUANTITY
RESIDENTIAL VALUATION Y
STATE SURCHARGE Y
COUNTY SURCHARGE Y
CHANGE OF USE-:
STORII S=
VALUATION
11088.00
FEE AMOUNT
135.00
4.50
21.60
**•****• **•************•**•***** PLUMBING PERMIT **•>•**•***x**3**********•********
CONTRACTOR::- UNKNOWN PHONE -
AGREE:
UNKNOWN
UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
TOILETS
SINKS
SHOWERS
BATH TUNS
PERMIT TYPE::
BUILDING PERMIT
PLUMBING PERMIT
PROCESSED)
PRINTED
BY:
BY:
FEE AMOUNT
161.10
24.00
__ __ ....._ _•• 185.10
WENDEL. , GLORIA
WENDEL.. , GI...OR:T.A
QUANTITY
AMOUNT PAID
.00
.00
.00
rEE AMOUNT
6.00
6.00
6.00
6.00
AMOUNT OWING
161.10
24.00
185.10
**.*.•*.***)i*************•**********3* THANK YOU**•****3*******,***•*••x*********•*****