1991, 05-15 Permit App 91002616 Addition°.4 ';'
`
SPK�KANE COUNTY o��AR-TMNENTOFBUILDINGS
VV.1303 BROADWAY AVENUE
$POmAms.vvAsmmGToNenonn
(509)456-3675
1 certifythat I have examined this permit/application, state that the information contained in itand submitted by meor my agent tocompile said permit/application /vt,v*
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 anysubsequent inspection approvals orCertificates of Occupancyshall not beconstrued to
give authority to violate orcancel the provisionsof anystateor local law regulating construction, oras a warranty of conformance with theprovisions of any stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
11Q& '.
_�e mo��� -rb �m�/W�� �/r� //�f��� � �f���/ �n=" S''~~'"—~ \
nouvr Pbs 200 1100/- IN un r--4jJ17QG HnV�����u���-�� /m\own"�MTMA A-P&A*U)
PROJECT NUMBER= 91002616 APPLICATION DATE= 0505/91
****** THIS IN NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= O1i
SITE %TREET= 13609 E BROADWAY AVE
ADDRE%%= SPOKANE WAT9216
PERMIT U%E= 2 %TORAY RESIDENCE ADD- BEROOMS' BATH, FAMILY ROC, /
/
PLA O= 002755
BLOCK=
AREA=
# OF BLDG3= i
OWNER"
STREET=
ADDRE%S=
PLAT NAM = VERA
LOT= ZONE- UR-3.5 DI%T*= F
F/A= F WIDTH= 96 DEPTH= 266 R/W=
# DWELLINGS= i WATER DIST =
SHINSKIE LOUIS & DARLENE
13609 E BROADWAY AVE
SPOKANE WA 9906
PHONE= 589 926 1547
CONTACT NAME= LOUI% %HIN%KIE PHONE NUMBER= 509 926 1547
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= 188
DEPARTMENT REVIEW COMMENTS
BUILDING
BUILDING
HEALTHDI%T
REVIEW INFORMATION **************************
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
NEW OR ADDITIONAL WASTE WATER
*******************************
CONTRACTOR= OWNER
NEW= REMODEL=
DWELL UNITS= 1 OCCUP LD=
BLDG W X D = % %Q FT=
REg PARKING= OHANDICAP=
APPROVAL COMMENTS
)(0v/�7
'
—'--- ---
^^-
141
. .
BUILDING PERMIT
�
DESCRIPTION CROUP
-----
RE% ADD R-3
RE% ADD 2F R-3
ITEM DESCRIPTION
--------------------
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
TYPE
VN
----
VN
i71O
%Q FT VALUATION
----- ---------
638 20790.00
1080 i7820.08
ADDITION= X CHANGE OF UFc`
BLDG HGT= STORIES`
IPRINKLER= N
CRITICAL MAT= H
QUANTITY
Y
Y
Y
***************************** PLUMBING PERMIT
CONTRACTOR= OWNER
ITEM DESCRIPTION
----------_------------
--�--
ET% '
JINK E
BATH TUBS
PERMIT TYPE
BUILDING PERMIT
PLUMBING°PERMIT
^
FEE AMOUNT
402.38
' _i8.O0
428.38
QUANTITY
FEE AMOUNT
343.00
400
54.88
******************************
PHONE=
FEE AMOUNT
AMOUNT PAID AMOUNT OWING
.00
.00
402.38
i8.08
.00 420.38
PROCESSED BY: WENDEL/ GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *****w*w*w*w***w*********w*******
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fOM & DARLENE SHINSKIE
136-09-€- B R OA DWAY --- -
- SPOKANE. WA-99216_. _...