1990, 10-03 Permit App: 90005100 ResidenceIF
Spokane County /42�
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DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: MA"-\\
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION: \_\
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: \ WATER DISTRICT:
OWNER: Q PHONE:
MAILING ADDRESS: \
CITY/STATE/ZIP:
CONTACT:
PHONE:
SETBACKS: - FRONT: S\ LEFT: RIGHT: tCi REAR: S\
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: - PHONE: -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: 4 REMODEL: ADDITION: CHANGE
OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X .3,K) (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I ,,ertify 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 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= 90005100
DATE= 10/03./90 PAGE= 01
APPLICATION
** ******* •*****ai•*********a**** APPLICATION *****. ********** •*n• •***********
SITE STREET 1526 S BLAKE RD
ADDRESS- SPOKANE WA 99206
PERMIT USE:-. RESIDENCE -- NWEC
r'L..AT4=
BLOCK=
AREA=
„': OF F L..DGS=
OWNER=
STREET=
ADDRESS=
002 753 PLAT NAME=
LOT=
F/A=
4 DWELLINGS-:=
D Ft BUILDING INC
12018 E IST AVE A
SPOKANE WA 99206
PAR'CEt..I = 22544-2471
VERA
ZONE= AGSUR DIST m F
F WIDTH-- 1 40 DEPTH-:= 1 290 R/W= 50
1
CONTACT NAME= CHRIS' SWANSCON
BUILDING SETBACKS: : FRONT-= 37 LEFT= 40
PHONE= 509926 0755
PHONE NUMBER= 509 926 0755
RIGHT- 40 REAR=-: 57
*****ii•****3+:*31**************** REVIEW INFORMATION ***** E***•iE3E3E•x***3E*********
DEPARTMENT
REVIEW COMMENTS APPROVAL COMMENT,
BUILDING • PLAN REVIEW REQUIRED
BUILDING ENERGY PL..AN REVIEW REQUIREID
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
HEALTHDIST NEW OR ADDITIONAL.. WASTE WATER
*3i•*********************3E******3i• BUILDING PERMIT
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CONTRACTOR--
STREET=
ADDRESS=
NEW=
DWELL.. UNITS=
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RE(? PARKING=
REMODEL=
OCCUP. L.D=
X SCS FT=
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CONTRACTOR=
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STREET=
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PROCESSED BY: FORRY,
JEFF?
PRINTED BY: FORRY, JEFF
PLUMBING
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ADDITION=
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SPRINKLER=
CR:ITICAL.. MAT=
CHANGE OF USE=
STORIES=
PERMIT ******************************
PHONE.
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gEfERLICE CAPPED ENDS AND CLEANOUT
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