1991, 04-26 Permit 91002109 Fire DamageSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 9926e,
(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 a rovisionsofany state orlocal law retatingconstruction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF / �C AATECATION /_' /
OWNER OR AGENT
E'F (:!..ii:(:::"f z;r "s-:s[:R= 91 0021 09
ISSUED PERMIT DATE= 04/26/
ri>1N.N.3' t'• l i- 9' ±:-.Pr.Iiit i)7 L ** PERMIT
SITE C:. ` ! I't' :1::: T -.. 0419 f:: B{. , , h D I,.ir• ; T A 4` !::.
ADDRESS= SPOKANE WA ' :}':?'. 2
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PERMIT t t,ti,
f"i R F: r•` =
OF :t ... G _.
REPAIR FIRE ..... DAMAGED
001280
13
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PLAT PSI A M E- =
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OWNER .. f"i!...F 1. .. ..ritik1....ON
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.l ! 1'+: !::. 1::. ::: 8419 F:. BROADWAY (:i l•i .(� �i ±•i ( AVE
I"t 7D E..._ •• SPOKANE WA 99212
PAGE:. 0:
INFORMATION * ii•.i- h• ..i• i±:• •i -i�: i�i •ii•* .. *.E: i•:.* iE- 3i• 3F fi-.r.i- *.i• ;�': •ic
KITCHEN DIN.I.NG
HUTCHINSON'S ADD
(.W .I. D T H c: 110
WATER D:I'ST
A(.s•! NAME:::: NOR —WEST CONSTRUCTION
SETBACKS: FRONT NA LEFT= NA
:t*itixn!nnds r r t k n t a jv:^h t BUILDING
: 1N .L:.1
A:o1)FsE: '` ::::
BL`iG I .:4, tf'i....
...... . , A !•i if i. N ..
CONSTRUCTION
BOX 11073
SI::'c:IKANt_ WA 99211
RF1::.i'1(.O;11::.1...::::
OCC
X ,S (5} 1•• i ::..
I?I: ,: (:;I'SIi'`T :0N C;R%11_jj'
' JAL VALUATION
SURCHARGE
COL SURCHARGE
*.i• •iir * 1±i.±t •) * -hi jr• A• .h, * ... * *.. •.. •R' .}i . •hi •i±i •j±i •ji•.i .±i *.0 .
PAYMENT DATE
ii•r !'....}/9 i
TOTAL DUE=
PERMIT TYPE
(:t1.UII...D.1.1.Nt_, PERMIT
Y
TYPE
................
V '•a
PHONE NUMBER= ::,,•_ic 404 4090
RIGHT= NA I:.;,.
AR= NA
PERMIT .}i• .i• •ji• •ji• 'n..e * * * * .ji..•n:..f ...i• *.... •ii• ..... •i±:.i• N-j±:.i-
.''I'1(:11'J.I::::::: ;:j':
434
1:.tI...!. G�! !eta 1
SPRI
KLER N
.:RI . ...._.=i... MliT•...
SQ FT
QUANTITY
-Y.
PAYMENT SUMMARY
iAr,,.,:
2360
.00 TOTAL i•f,}.I.ij=
FEE AMOUNT
100.90.
108.90
AMOUNT PAID
-1 i.i 1.3 ,, }1 (:i
100,.90
s . 0 {: •` {;i
CHAAGE
VALUATION
7000.: 0t
-FEE AMOUNT
90.00
14.40
•)i-Ni•i .J±i'1i. 8i••A•...........i-'Aiaa.l' 'j(•jk..-i *ii.•.i•xi
PAYMENT AMOUNT
108,90
100,90
AMOUNT OWING
t10
PROCESSED BY: FORRY,
PRINTED Ea% BY: i"(.iRt:Y t
ii• •ji.i .i.t: i¢.i•.i'''n'R •bl• i• 1±: •14. .ji. j,. y,..j{. H•.ti -ii• •ii' .i±:.ji•'ji' .l'.k* -P:i 7L- Zi: THANK YOU i'.* ll. *.jti..jr. h:. .iL 3i. p:. .n. .p.. .p: •1,:.A. .1C .n: ;1 .p:.7C .1C .p:.1,. 7F i4 1G P:.j4 *.ji. .A: