1991, 06-11 Permit App: 91003239 Remodel Basement—•-- JUN -17—'91 09:33 ID: HEALTH SPO
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JUN -17—'91 09125 I D :DEPT OF BUILDINGS
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TEL NO:94582243
##176 P01
TEL NO:509-456-4703 #711 P01
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SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
8POKANL, WA$MINQTON 99260
(501)456-3675
ICertify that lhavaexaminedthis permit/application, state that the information contained in itanasubmitted bymeorfnynentlocompile said permltlap IIcatloniattUe
and correct, and authorize Spokane County to proceed with processing. In addition, 1 have reed and understand the INSPECTION REEOUIRCM NTS/NOTIOE
provisions Included herein end e9ree to comply with same. All provisions of laws and ordinances governing this type of work will Na compiled with whetherepeoNled
Magill or not. I understand %het the lasuan oe of this perm it/application and eny subsequent inspection approvals Of Certificates of Occupancy lthell not be conftrued to
gave authority to vloiata or cancel the provisions of any state or local law reg u leli ng construction, or as a warranty of conform anoe with the provtsione of any state or tocat
(awe regulating conefruotton.
SIGNATURE Of APPLICATION
OWNER OR AGENT
^ATE
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DEPARTMENT (:EV:rI:.:W COMMENTAPPROVAL COMMENTS
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* 1i yr, * i{ * i:: it 1i' ii. q ar. *,' ,K 4 ii' * yl. rye. ,c Y; Y a+'r 1t k fis r; # r THANK Y O I b K ' is sk ii, pt' t, •x' iu ii Ilii• •M4 141 0r ({ i4'k ik iE 1414 iE i4 i4 * i!' i4 i4 iK•
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: f z/e6 (eit
CITY/STATE/ZIP: ( )1-1 99237
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH:
# OF BUILDINGS: # OF DWELLINGS:
OWNER:
MAILING ADDRESS: 2/4"-S-
CITY/STATE/ZIP:
R/W:
WATER DISTRICT:
PHONE:
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
DWELL UNITS:
PHONE:
ADDITION: CHANGE OF USE:
OCCUPANT LOAD:
DUILDING DIMENSIONS:
X
BUILDING HGT: STORIES:
(WIDTH X DEPTH) SQ.
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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