1989, 05-24 Permit App: 89001435 GarageSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE; WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent tocompl le said permit is true and correct. In
addition, I have read and understand the INSPECTION REOUIREMENTS/NOTICE provisions included herein and agreeto 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 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
PROJECT 'NUMBER= T; 9 0 0 i 4 :
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DATE .05/24/89 PAGE=:: Oi
APPLICATION
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SITETREET= 521 S BLAKE RD . PARCE.L..:g:::: 22541-0612
ADDRESS== SPOKANE WA 19216
r -t:. USE= A ;,
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! -':...ATT= 001669 , PLAT NAME= MOORE:' S SURBURBAN HOMES ADD
BLOCK= ? LOT== 9 ZONE= AG DISTt _= E
'AREA= F/IAr: F WIDTH= 111 'DEPTH= 164 R/!.I= 60
OF BLDG:'= 4 D!WEL_LINIGS=? 1
OWNER= DAVIDSON, SCOTT -
STREET= 521 2 BLAKE RD
ADDRESS== SPOKANE WA 99216
PHONE= 09 928 t 809
CONTACT NAME=: SCOTT DAVIDSON PHONE: NUMBER== 509 928 6809'
BUILDING 'SETBACKS: FRONT= i29 LEFT= t 5 RIGHT== 8')_ REAR== 5
DEPARTMENT MENT NA E
IBUIl ii1r.J,_ & SAFETY
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• DATE
REVIEW COMMENTS IN/OUT INITIALS
PLAN REVIEW .REQUIRED 890524 SDH
BUILDING SAFETY ' SETBACK REVIEW REQUIRED
15ER S 1 E
890524 SDH.
ENV'IRONMENTAI_ HEAL.TH . ''INCREASE IL'-'. LOT COVERAGE 890524'
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CONTRA' OR== OWNER
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DWELL UNITS=
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PROi.:E:s2L::D /BY:'STEVE: HOLYK
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PHONE -
REMODEL =:= ADDITION= CHANGE OF .USE===
OCCUP:. L_D:::= BLDG HUT=::: 12 STORIES==
720.
HANDICAP=== SEWER:,
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Spokane 'County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
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SUBDIVISION: /pf'sv7'5 rs
BLOCK: ,2LOT: ZONE: ? DISTRICT: /-"
34
LOT AREA:
F/A: WIDTH:
# OF BUILDINGS: �t # OF DWELLINGS:
OWNER: Scn4 4 tt On, %.6San
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
DEPTH:.
R/W:
WATER DISTRICT:
PHONE: 5 O`' - ¢, {- 44Sf0
PHONE:
SETBACKS: - FRONT: //PQ .LEFT: J RIGHT: 70 REAR: S
PERMIT USE: nA z4 C -
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
'BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: - STORIES:
BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
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30"
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