1991, 08-01 Permit App: 91004673 Garagey SPOKANE ColiNf Y`DEPARTMENT OF BUILDINGS
W. 1303 BRO'A6WAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 subsegdent 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= 91004673 APPLICATION DATE= 08/01/91 PAGE= 01
ar THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
_------------------------------------------
SITE
_ --- -. _ .._ .., _ ._ .,.
SITE STREET= 022 N DALE RD PARCEL.O:- 07544--0428
ADDRESS= SPOKANE WA 9902
PERMIT USE= DETACHED GARAGE
PLATO= 00626 PLAT NAME= MICHIEI...i_I PARK 2ND ADD
NLOCK= 2 LOT= 2 ZONE= UR -3.5 DIST O= F
AREA-:: 0003283 i=/t1y F WIDTH= 91 DEPTH= 145 R/W= 50
:cc: OF r{L. Dr.Y S = 2 0.
i?WEL.L:I:NGS-:: i WATER DIST 43A SPO CO WATER DIST
OWNER= WITHAM, L_EROY A PHONE= 509 922 1042
STREET -= 022 N DALE RD
ADDRESS= SPOKANE WA 992
CONTACT NAME= LEROY WITHAMPHONE: NUMBER= 509 928 3030
BUILDING SETBACKS: FRONT= 57 LEFT=5 RIGHT= 108 REAR--
uxna��: xaca� a�ai=nh3i ua�a� �s3i ac arra REVIEW INFORMATION ae���►tt��3ca�a��at�����r�ta�ka�ujE��r
DEPARTMENT REVIEW COMMENTS APPROVAL _COi K1 7"N.
rr II
BUILDING PLAN REVIEW REQUIRED ««_« _.v! —««..-..«.«.._._—«.._...._«_.....-«...,,--
45 PikO3E IL3t Dli MINa Gx 3Ef T`B)t
AK *CIF K�{ 3i REVIEW
EVIEW REQUIRED
EQUIRED
------------------------------
'ENGINEER s✓`«�.'j._......_....__..«_ ..._._.«__.._._«.._._..«...... ..__._«
t=-DCACHl=LLED FL13N/D:oL`(;E
FEALTHDI^T INCREASE IN LOT COVERAGE -.--_���BUILDING PERMIT *.
*
CONTRACTOR= OWNER
NEW.- X REMODEL=
REQ PARKING-- OHANDICAP
DE SC:R I PTIONGROt, P TYPE
------ _ — _..._— ----- ----
GARAGE M --i VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE::
COUNTY SURCHARGE:
f'EP� i9i I T T Yi `1 F71=E AMOUNT
-------------
BUILDING PERMIT i19.34
119.34
PHONE-:
ADDITION= CHANGE OF USE=
BLDG HGTu:: STORIES--
1024 S1='RINKL.F«.!"= N
CRITICAL MAT= N
SIR FT VALUATION
1024 068.00
QUANTITY FEE AMOUNT
Y MOO
Y 4.50
Y 0,84
AMOUNT PAID
------------
. 00
------------
00
PROCESSED BY: JULIE SHATTO
PRINTED BY: ,.1(.1LIE". SHATTO
x§i��� xha x }agar �c >rxxhjti THANK YOU
AMOUNT OWING
---------------
119.34
---------------
i 19..:4
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: SPQ /fC a17o ?
STREET ADDRESS: 1V, DALE -Wz .
CITY/STATE/ZIP: Sp[)A)E, U),q
SUBDIVISION: M' >C14I&Jk/9e& 5;5F(-.0k1Z) /%DD/T/O
BLOCK: LOT: oZ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: ,DEPTH:)#S , R/W:
N' l�-t' .5PaKfiAe eouA7y
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: WRrCZ b15T21C-1 �
OWNER: PHONE:
MAILING ADDRESS: Al, o?1d,:2 J19,4E eb .
CITY/STATE/ZIP: JP0k-, AJ6- ; &)fl •
CONTACT: lecRo y A /U/Tltt%n2 PHONE: Ste= o1a - le��
50,57-
SETBACKS:
s9-SETBACKS: - FRONT: U -(-4 . LEFT:/09'F4- RIGHT: 54(- REAR:
'�rorn Cc�nttFi,�OF,eCrlj
PERMIT USE: _ _ME(o E A �aCE
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE: -
PHONE: -
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:
LD
-T- '!I
1-7
1 -
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