1991, 04-12 Permit 91001801 GarageSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 shat I not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any stale or local
laws regulating construction. /' /
SIGNATURE OF /A— DATE CATION Y l•— C�/
OWNER OR AGENT 111 ((
jjbn Skervowd.
PROJECT NUMBER= 91001801 I:,SSUED PERMIT DATE= 04/12/9`1 PAGE= 01
'N:#'3t")l'#1F#####"Yl'#3t'######il•##'A'###'
PERMIT INFORMATION
SITE: STREET= 12902 E: BROADWAY AVE: PARCE::i..*== 15543-0106
ADDRESS=:: SPOKANE WA 99216
PERMIT USE= DETACHED GARAGE
PLATO= 00 838 PLAT NAME= OPP. TR . 1-354
BLOCK= LOT= ZONE= UR --3.5 DI:ST*= F
AREA= F/A-= F WIDTH= 100 DEPTH= 220 R/W= 40
a OF BL.DGS= 1 4 DWELLINGS= i WATER DIST ==
OWNER== SHERWOOD KHN PHONE= `.109 928 1610
.STREET= 12902 E:: ARC1ADWAY AVE:
ADDRESS= SPOKANE WA 99216
CONTACT NAME= JOHN SHI:RWOOD PHONE NUMBER= 509 928 1610
BUILDING SETBACKS: FRONT== 100+ L..EI-Tw 29 RIGHT= 40+ REAR= 504-
BUILDING
0+BUIL..DING PERMIT
CONTRACTOR== OWNER PHONE=
NEW= X REMODEL=
DWELL UNITS:: OCCUP, L -D=
BLDG W X D = 30 X 40 SP FT=
REQ PARKING= ::HANDICAP=:
DESCRIPTION GROUP TYPE:
----------- ----- ----
GARAGE M-1 VN
ITEM DESCRIPTION
-------------------------
RESIDENTIAL
....... - .................-..............-......................... - -..-........ - -
RESIDENT:I:AL VALUATION
STATE SURCHARGE:
COUNTY SURCHARGE.
ADDITION= CHANGE OF USE=:
BLDG HGT= 12 STORIES=
1200 SPRINKLER= N
CRITICAL MAT= N
PAYMENT
PAYMENT DATE RECEIPT,
04/12/91 2034
A FT
VALUATION
1200
8400.00
QUANTITY
FEE AMOUNT
-------------
------------
Y
108.00
Y
4.50
Y
17.28
SUMMARY
#. �..h. M. M. p. t..tt..p. a #. #..k..M..M..K..h..k..tf..p. #..y .h..h..q..h. #. #.
TOTAL- DUE= .00 TOTAL PAID=
PERMIT TYPE: FEE AMOUNT AMOUNT PAID
--------------- ------------- ----..__.._.._._----
BUIL..DI:NG PERMIT 129.78 129.78
-.----.....--- ---- ------------
129,78
____ --_-____129,78 129.78
PROCESSED BY: WENDEL.., GLORIA
PRINTED BY: WENDEL.., GLORIA
YOU
THANK
PAYMENT AMOUNT
12.9.78
-..-..-..----1 -9.78
AMOUNT OWING
--------------
.00 -.---------- -----
.00
---------------
.00