1989, 12-28 Permit App: 89005379 ResidenceX
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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W.13O3BNUE
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_
SPOKANE, WASHINGTON 992G0
(509)456'3G75
/certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to weaiu permit/application is true
an -- �-- authorize---Spokane8--County—to
provisions proceed with prwessi, In addidon, I ham mad and understand the INSPECTION REQUIREMENTS/NOTICE
wAh same. All provisions of laws and orclinamm guerning ON type of work -will be complied with whether specified
give auVority to WAS or cancel the provisionsof anystateorlocal law regulating construction, orasawarrantyof conformancewith the provisions of any state or local
herein ornot. I understand thatthe issuanceof this permit/application and any subsequent inspection approvalsorCertificaNsof Occupancyshall "t beconMrued to
SIGNATURE OF ` '� APPLICATION
OWmsnDRAGswT DATE
-
PROJECT NUMBER= 89005379 C)ATE= 12/28/89 PAGE= Oi
PLICATION
********************************* APPLICATION
SITE STREET= 5408 N DAVIS RD PARCEL*= 346444205
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE
PLATO=
00050 PLAT
NAME=
%AN%ON EAST
BLOCK=
3
LOT=
5 ZONE=
SFR
DINTO= F''
� AREA::::
F/A=
F WIDTH=
105
DEPTH= 116 R/W= 5O
0 OF BLDG%=
0 DWELLINGS=
i
OWNER=
C.H.D. INC
PHONE=
509 926 5229
STREET=
P O BOX 13717
ADDRESS=
`
SPOKANE WA 99213
CONTACT NAME=
W%E% CROSBY
PHONE
NUMBER= 5O9926 5229
BUILDING SETBACKS;
FRONT= 30,
LEFT=
22 RIGHT=
it
REAR= 58
REVIEW INFORMATION
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS.
' �
--------------- --------------- ' ------ --------
BUILDING & SAFETY PLAN REVIEW REQUIRED 891228 GMW .
�
--------------------------
—�
--------------�------------- ------ ---
`
BUILDING & SAFETY SETBACK REVIEW REQUIRED 80228 GMW
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------------------- --
.... .... -
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...
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COUNTY ENGINEER 'APPROACH/FLOODPLAIN/DRAINAGE 2 ~~
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01
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ENVIRONMENTAL HEALTH NEW OR ADDITIONAL GMW
------------------_----... .... .... .... .... .... .... — .... —....
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'QING,&, SAFETY--
DEPARTMENTOF"""801,L
West 1303 Broadwaycp
., ifue 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT:_ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: % DEPTH: R/W:
V OF BUILDINGS:— : OF DWELLINGS: /, WATER DISTRICT:
OWNER: �,j �1�,�_� PHONE: -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:..
SETBACKS: - FRONT: LEFT:
PERMIT USE:
PHONE: - �;' L�- y -- j
RIGHT: REAR:-
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
- —
4.
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL:, ADDITION: CHAITGE OF USE:
DWELL UNITS:- ~OCCUPANT--LOAD:'•3 BUILDING HGT: STORIES:
y i
BUILDING DIMENSIONS:'- ' ' "" "'%'"�" (WIDTH X DEPTH) SQ. FT.
REQUIRED PARKING: # HANDICAP: RFWF.R !V/N1- HYnRAWT!
,
0
:�RrVEWAY T;0
Idl
APPROVED As NOTED
Spoka i.:oi�rty Road Lnginccr
Date a /p