1987, 05-06 Permit App: 87001234 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675 •
• I certify that I have exams ned 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 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER='87001234
DATE= 05/06/87 PAGE= 0i
******x********tt-*•**************** APPLICATION •
*********.X...ip.x.**************
.SITE STREET= 5712 S EVERGREEN RD PARCELt= 27541 --3305 '
ADDRESS= VERADALE WA 99037 •
PERMIT USE= RESIDENCE ADDITION - DEN/OFFICE
PLATT= 002963 PLAT NAME= WOOLF ADDITION
BLOCK= 2 LOT= 5 ZONE= SFR DIST F
'AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 138 R/W='60
OF BLDGS'= 1 4 DWELLINGS= 1
OWNER= AHTO, HENRY
STREET= 1712 S EVERGREEN RD •
ADDRESS==` VERADALE WA 99037
• PHONE= 509 928 4022
CONTACT NAME= HENRY AHTC) PHONE NUMBER=
BUILDING SETBACKS FRONT= LEFT= RIGHT= ' . REAR= 80
******************************
REVIEW INFORMATION
DEPARTMENT NAME REVIEW COMMENTS
---------------
BUII...DING & SAFETY
PLAN REVIEW REQUIRED
•
**************************
DATE
IN/OUT INITIALS
870506 GMW
s/.b/O-i
ENVIRONMENTAL HEALTH INCREASE IN LOT COVERAGE:: 8705b6
*******************************
CONTRACTOR= OWNER
BUILDING PERMIT *****�**********************
PHONE=
NEW= REMODEL= ADDITION= X CHANGE USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D == 13 X 18 SQ FT= 234
REQ PARKING= .HANDICAP= SEWER=.Y. 'HYDRANT N
0
*
INFORMATION WORKSHEET
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* *
* PARCEL NUMBER: Z7SIII - . *
i -*r *
* STREET ADDRESS: S . fl k a, L UC y9 rccV . *
* ,`r� c���\ J n
* CITY/STATE/ZIP: \J O._ac k A-/ "120`31 *
* SUBDIVISION: WOOL *
* *
* BLOCK: Z LOT: 5 ZONE: SF -g- DISTRICT: c: *
* *
* LOT AREA: F/A: WIDTH: 60 DEPTH: 138 R/W: etiC) *
* *
* # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: n *
* OWNER: 4QVlVii 4r -j w - ✓lam PHONE: 56Q - 9 -'4 &9
* MAILING ADDRESS: .S , k 2.O a � V c Y'2 e y
,
* CITY/STATE/ZIP: FO Q C • (Act -Y-1 -- *
* *
* CONTACT: - PHONE: - - *
* SETBACKS: - FRONT:EY,S T�EET: RIGHT: REAR: *
* PERMIT USE: 'ES I DEUCE Apo (T ,cA.)
* *
***********************************************************************&******
* BUILDING INFORMATION *
* *
* CONTRACTOR LICENSE NUMBER: -- --- *
* *
* CONTRACTOR: SAI.•CE PHONE: - -
*
* MAILING ADDRESS: *
* *
* ARCHITECT/ENGINEER: PHONE: - -
*
* MAILING ADDRESS: *
* *
* NEW: REMODEL: ADDITION: )4 CHANGE OF USE:
* *
* DWELL UNITS: 1 OCCUPANT LOAD: BUILDING HGT: Ep STORIES:/ - *
*
* BUILDING DIMENSIONS: /3 X re (WIDTH X DEPTH) SQ. FT.: 23tG *
* REQUIR.ED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
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