1992, 03-24 Permit App: 92001774 Covered DeckSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: , ! FSI//— 0 70
STREET ADDRESS: A/ - /3 /7 ,SSS/L=
CITY/STATE/ZIP: Spo A-74 i r, 9'q -o
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:Sf' I 41- JA4/.r7- /I FELSS'ON PHONE: 5787-1r�t=4'6 73
MAILING ADDRESS: 47,-30/ FO x eo
CITY/STATE/ZIP: -5)90/60/9:67:7.0/9S-6,-
CONTACT: c5)14/I k- /7S /7/.� d ver
99 020
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: Cd(/(,=P1=D DL_'Cfi--,9PPkoX /, -x Jo
CONTRACTOR LICENSE NUMBER:
BUILDING INFORMATION
CONTRACTOR: PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED:_ CRITICAL MATERIAL:
Heat. System"
Use of Bldg.
Typ -of R fines 0,..fr Q Ext. Finish Wall Finish-
No.
inishNo. of Units Bedrooms
Private Detached
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of' existii
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage
tem and water supply lines.
I
as shown
SOU TH
tion s
itt-. is cor/ et and there are no other structures located on this property
1
State Licence No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
LaSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
er or Agent
Date
A LAND USE OR STRUCTUR - PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENC
THIS IS NOT A PERMIT.
-12
DO NOT WRITE BELOW THIS LINE
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