1992, 05-14 Permit App: 92003421 Residence00
SPOKANE COUNTYpS4RTMENT OF BUILDINGS
W. 1303,211ROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9200342.1
APPLICATION DATE= 05/14/92 PAGE== 01
3Fat3tu'3F3t THIS IS NOT A PERMIT 3t*****
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET== 1792.1 E CATAI...DO AVE PARCEL_:E:--'TT.-55T=. 477
ADDRESS== GREE:NAC:RF:ES WA 97016
PERMIT USE= RESIDENCE W/GARAGE.:: •• GAS
60127. 0`107
PLATO= 001 764 PLAT NAME= NORDHAGEN' S SUB
BLOCK= LOT=
.AREA= 0'000000 F/A::= A WIDTH= G0 DEPTH= 127 R/W= 30
: OF 1itL.DC:S== 0 DWELLINGS= 4 WATER DIST == CONSOLIDATED TRRG 01
OWNER= JENSEN CONSTRUCTION INC
STREET= 1006 S WRIGHT BLV
ADDRESS= LIBERTY LAKE WA 99019
PHONE= 509 926 7124
CONTACT NAME:: MARK JE::NSEN S PHONE NIUMBER= 509 926 7124
BUILDING SETBACKS: FRONT= 0 LEFT= t RIGHT= REAR==
0
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DEPARTMENT
REVIEW COMMENTS APPROVAL COMMENTS
B(J.IL_r)I:NG PLAN REVIEW REQUIRED
ThBUIL.DIN..: SVT•PArI< REVIEW REQUIRED
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CONTRACTOR= JENSEN CONSTRUCTION
STREET= 1 006 S WRIGHT BLV
ADDRESS== LIBERTY LAKE WA 99019
PHONE= 509 926 7124
NEW=: X REMODEL- ADDITION= CHANGE OF USE==
DWELL UNITS= 1 OCCUP, LD= BLDG HGT= 15 STORIES==
E{i...DG W X D = 1< SQ FT=: 1484 SPRINKLER= N
REQ PARKING:- OHANDI:CAP== CRITICAL. MAT= N
4F**ii*vi*********if**) *A** )*4*• MECHANICAL PERMIT grit'aikiFii'R'##'>rtF#v:is3i':x*ii'ii'ittr 3r•x•'x*3i'
CONTRACTOR= TURNER HEATING & REFRIGERATION PHONE:::: 509 244 9408
STREET=: PO BOX 218
ADDRESS=: AIRWAY HEIGHTS WA 99001
X***4t*' {i*jt':*** ***314X* PL.(JMF.I I.NG PERMIT *1*u (tit•N:'**ie 1***4*3e4t iat*** e**'***3t3i.'.
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA, UNKNOWN
PROCESSED BY: .J1UI...:CE:: S'HATTC)
PRINTED BY: JULIE SHATTO
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HANK YOU 3t34*4*3t'
PHONE=
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: -7 ZONE: /� DISTRICT:
LOT AREA: F/A: WIDTH: SC DEPTH: /a -Q R/W:
# OF BUILDINGS:
# OF DWELLINGS: ( WATER DISTRICT:
OWNER: UCl4c 'etk c *4154v\ &L C WA../‘ -±�- ( 0 7/e2 q
MAILING ADDRESS: /cZ)& 5 //CJo051 //� �(N‘ g
CITY/STATE/ZIP://LDe.) LGy Uk Yre/ /
CONTACT: PUr4( OittitAetl PHONE: -las (y-7lo2I
SETBACKS: - FRONT:4161, LEFT:/ -7 RIGHT: r? REAR:a
PERMIT USE:
•tcf,,,a/L3
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:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP:_ SPRINKLERED: CRITICAL MATERIAL:
OT ' 'QTV T l:C c /5;MLAOOOR0iNG__
TO THIS AF :i, ?iii (HI CALL T!!E OFFICE
iiGR Tr {>Y .L�tiii0iJ:
1
SPECIFLC&TIONS— _
TYPE -0F. SEWAGE SYSTEM;_ I
LINEAL OR SQUARE FOOTACE: 0r)•
1 r;ti;Crf MTV:
DEPTH FRCi•1 ORL ' .CE TO BOTTOM
OE SEWAGE SYSTEM:
OTHER: /7u4. 411 /u -j
SIONATU
DATE: -9-1-11-1,12;_.
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