1987, 08-24 Permit App: 87002739 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 to compile said permit is true and correct. 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 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= 87002739
;q• Vii: : 7(..j4..},. * *.y..7t •1,::n: * :a::u: •A h:. •y.• •P: if.* •} * •A: * * y,, .}t .Y, * * * :n: APPLICATION •1i• :i,. 11..H..**:n: •it !,: }i• * 3,: •a: * :,{• :>t *:.,: 3t: •i,: * * i!::s• .Et. * _,t..ti•
*. ;. t !:: STREET= 2819 S BOLIVAR RD PARCEL:,... 2 ;j::}. ....0=j';;y4;ii-' i N
ADDRESS= = VF Is'A! t:iL..E:: WA 99037
PERMIT USE= RESIDENCE
PLA
"='F:.::I::c)tE:i,!(.:i-
i''I...F1 i :s: »•: 004189 PLAT NAME= EVERGREEN POINT (WAS DAY BREAK
BLOCK= 2 LOT= . 5 ZONE= S!•• '
AREA= c:I.iLit1i;)i,)[:}t,;' ' / A »:: i.. WIDTH= S:i :> DEPTH= 125 F~:.` a.! ...: 50
wOF BIlty = 1 iDWELLINGS=
::
31µl :j !: !" • ' : ! 4 w ASSOCIATES
STREET= i' (:i BOX 14084
ADDRESS= >>t..t.7KAf`•(L•:. WA 99214
CONTACT NAME:::: I:{iI...L.. SMITH
• PHONE= 509 922 0782
PHONE NUMEER= 509-922-0782
BUILDING ;'E:{ , •, : !,,t ;! .t.::. 30 LEFT= ':;,:j RIGHT= 23 REAR= 59
}xanav;abhty}{pyh*i i*t:v;;.1,; REVIEW ,;iOi'; ._`:]* „j: * * i n{ :.}pj)I. 9l
DATE
DEPARTMENT NAMETN/OUT INITIALS
BUILDING & SAFETY
1.13UNTY ENGINEER
ENVIRONMENTAL HEALTH
REVIEW COMMENTS
PLAN REVIEW REQUIRED
f.. p. ,{! COUNTY F 1„ OAi) APPROACH
870824 GMW
2.5' -7
..r..i. f..!:,••44! WASTE WATER r! fA..7'2" f) r.. F; W
63-
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fi
3-
fi.. .... _......
_U• u:.},..7r• * a,:. •it.• •it• •n:• }t h :a: i,::. b..L..jl: n: 3 : 3,::u: 3,: •, ..,,, .j,.....t:: •s!::u..p * BUILDING I:iftiQ u } : *k n n yr:} ;pj{anif . dL 6 :
: h
CONTRACTOR- W$• ' & ASSOCIATES
STREET= F•' t.' BOX 1 4c t44
ADDRESS= SPOKANE AN :!:!.A 99214
NEW= X
DWELL UNITE= -REQ PARKING=
PHONE= 5 , _.:, 922 0782
. _.,
REMODEL= ADDITION= CHANGE E i I•'I �';;-� t_Y F:. i '�> I-: =
5
.,-s- 3 - L v c e
_--
111.21L2rep.ar
rreY I
(1-501\xi,-
.1•1,911111
. DOUBLE PLUMBING
USE 4" PVC PIPE ASTM D-3034 S ' R36
OR ASTM F789 AT 2070 SLOPE
REFERENCE CAPPED ENOS AND CLEAN
3 I GAO g a c i ve
•
•01
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INFORMATION WORKSHEET
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* PARCEL NUMBER: 64—y2 - c27 /97-A/
* STREET ADDRESS: a / 7
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* SUBDIVISION:
CITY/STATE/ZIP: (//12 9 9
* BLOCK: 1 LOT: _3 ZONE: DISTRICT:
*
* LOT AREA: F/A: WIDTH: DEPTH: //c2Jf R/W:
* *
* # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: *
* *
* OWNER: l/C: 4. d` 57 sSc' c. , /!L' C PHONE: - )2- - O7 t---- *
* MAILING ADDRESS: fi c' . /a / yo r -/-
*
* CITY/STATE/ZIP: e>k',eq P674 , `7/.//1/ Z9 Y
*
.G'� S- - *
* CONTACT:
r �t / �¢ PHONE :
* *
* SETBACKS : - FRONT: 3 PJ LEFT: �-C RIGHT : 3 REAR: *
* *
* PERMIT USE:
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* *
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* BUILDING INFORMATION *
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• CONTRACTOR LICENSE NUMBER: G6 -,C .f' /7 S' - / ,I- • Ai' 6 -
• CONTRACTOR: t,(,' - 4 , S (V /1S 1' c - / C_ PHONE: . - 677,24_- ' 2 ge
• MAILING ADDRESS: C' /5'v /qo V 5'49"fr7 -- �� 2 /
* 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: SEWER (Y/N): HYDRANT:
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