1988, 04-28 Permit App: 88000996 Carport111111111111111111111i 11111111M101116
SPOKANE 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= R= 8(:,i 00996
/•(38 PAGE— i:)'i
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SITE STREET= 815 BURNS RD PAF?i.::I:::1...4:::: 23544-4401
ADDRESS= V l::: R i"i :Ci i"t l... l::: WA 99037
PERMIT USE= ATTACHED CARPORT
PLATO= ,.:.i ...
EtL..00::K= 2
AREA= 00000000
PLAT NAME= }'NOItiI::'•1'' S ADD
LOT= i ZONE= SFR
I:: //i-•! :: I::' Iii:I:i)T•FI:::: 80
DWELLINGS= 1
OWNER= ; :I: I... I... ]: (:; :I: i'i N , TODD
STREET= = 8 i' >' BURNS RC)
i•;T)O1:i1:::SS:::: V1:Rr•!.( ;i...F WA .reit): t
CONTACT NAME= :::: I...ARI Y FLEURY
BUILDING SETBACKS: FRONT= 36
PHONE=
DEPTH= 134 R/W= 50
PHONE iCJNI::: N(.JiMBis R= 509 92.::3 5360
i._E::F:''T•:::: 13 RIGHT= (a REAR= i ;>;:I::'
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DATE
:EFi/Ci..i..r INITIALS
DEPARTMENT AN(!ME.
............................................................
BUILDING & SAFETYPLAN REVIEW REQUIRED
REVIEW 'v:1:EW (::i:irw-ME:NTs
............................................................
880428 (;MW
Cs.._C.PeUDEL ------ i/l26/88 -
ENVIRONMENTAL HEALTH INCREASE IN LOT
'E::R(;(rE::
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CONTRACTOR= FLEURY Cc:;: 1 R(.JCT:I:(:i
<'T RE::E::1= 5107 S iMiOl•. AWK DR
ADDRESS= SPOKANE WA 9206
DWELL UNITS=
Bi...Dc; wi `' 1) = 24
..
REQ PARKING=
REMODEL=
ODE I...::
28 SQ FT= 672
:ii: I••I f-1 i.:I:) :1: (:. (t 1''::::
DESCRIPTION GROUP
CARPORT M-1
PE::RM:I:.T. TYPE
BUILDING PERMIT
F:'I•HI(:;Nl:_:::: }(:)c? 928 5360
ADDITION= :f•: CHANGE OF USE=
BLDG HGT= 0 STORIES=
SEWER= i -j
FEE AMOUNT
............................................
„00
t
PROCESSED ,>ED i::Y : (fi E::Ni.)i:::I..., GLORIA
PRINTED 1:, 'r : (AJ I::: N :O E::1 , GLORIA
HYDRANT= I'i
VALUATION
3360..00
(1I1(:)UNT OWING
0)0
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BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
S SIN 1 tie)
SFAC
Se
1 Owner's Name (last) (first) (m)Department
Use Only
Y
G(LL,./67,94hD
Iss. Comm
2 Project Address (not Mailing Address) or Road Name Space Zip
s, g/ 5- L I1)5 99037
3 City/Community
():c126DALE Lu
State
.
Subdivision/Plat Name
'LSn)ooP 3 /46,0"1•
4 Assessor Parcel No.
Lot
Block
I
* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zone Act. #
Zone
Project No.
6 Dwell#
No. of Buildings
Sq. Ft./Acre
Depth
84
Frontage
et)'
7 Set Back -Front (L S-1
(R)S-2
Rear
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
F/_.Z, LE k 5! et -92) 6?"/�C& •T/C n) -�- "),!
/
Street Address
,� . /4/ /f - -7�Z '1)29Zip
y7 7
City
(iE7PADAcg
State
1L
Phone
( -sol) 9,2i-5,_ <6,c
Contact Person
4,-RQy k—LEtte/
License No.
_Flagi,Q1le 277SS
Phone if different than above
( )
8 Owner/Agent (if different than #1 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y/N)
Other (Y/N)
SEPA Exempt (Y/N)
Date
15 Type Work ❑ Bldg
E Fire
D MH
E Demo
❑ New
E Add/Alter
❑ Replace
❑ Move
❑ Other
14 Describe Work
10 Applicant Name
Street Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
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ry
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Post
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l/ur... i4 of PLAT, r AGE 45
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