1991, 03-12 Permit App: 91001053 AdditionSPOKANE COUNTWDERAIBTMENT"OF BUILDINGS
W. 1303 BROADWAtAVIENUE
SPOKANE, WASHINGTON 99260.
(509) 456-3675
1 certify that 1 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
i"'' R l; . 11:: i.:.1 !`')1.J s' S:{ E :1'+' n:: 91001053
.G„,,. T115; APPLICATION
DATE= 03/
7/91
PAGE= 01
* * F+.:?h'J{' 1i THIS .t. L. N O i A PERMIT ! .1. ***:k**
PENALTIES WILL BE ASSESSED # ” i R COMMENCING WORK 1,.I:#:•'i'Hi 19. I..i. i.. PERMIT
SITE '"t•r;EL , ...
FERMI T USE=
AREA—
OF BLDGE=
O1W:1'NE::1':;::::
SPOKANE l,.1,::1 99 206
ND STORY ADDITION OVER EXISTING Gr`t#n<r-`-rt:.,..
001315 1~ 1... (`•t T NAME= •..i ('•1 i 4 l.1,<•; , , SUB :r; ('i #::' BLOCKS 19i&192
it r`>r.'•.1=: � - }; Y
LOT= 7 ZONE= UP 35 DIST4=
i.J IdJ 1.:. I... #..#. N (.Y r.} ::.. i WATER DIST ....
00000000
F/A= E' WIDTH= ;::; r:; DEPTH= 132 R / I,. =
...AK TN , i:'YI";ON
r.: 9 g FOX RD
SPOK ANE WA 9'
PHONE= 509 926 2766
CONTACT 1t;('1r.((-::: BUD .r1'::c::1<'1 IIr•i:i3 PHONE NUMBER= 09 92 992
BUILDING SETBACKS: FRONT= .41 LEFT= 10 RIGHT= 2 0 REAR= 4 ! ,
i i ) u h??1~ ? : a e ) 1 hri: h : t h ?i#h ;p;REVIEW 1..
v@abie*ikJgavknii❑ri4iri;;?
DEPARTMENT REVIEW COMMENTS f•`IPI''R';:..i\Tt+1... COMMENTS
BUILD .1:r'1i:Y
PLAN REVIEW REQUIRED
BUILDING SETBACK F E:\_:r.;i4 REQUIRED
/..o......:-....../3:-7.
}; J . ) y. }pijf.r.; *{ i / 9.(' 4") J Y J 1 9999JBUILDING `;"rT jh iK;n" JR * »ii* nP*l).* * :4" *
i`:1':iDWEL
-1 PARK ING=
Ai:::.
BFC i:#...E.li�#:( l'{ROS : '7,ENERAL CONT,
.>n....J HERALD
SPOKANE WA 99 06
E :::M(I)DF.71...::
1::1t::(::IIP:. L..%'J::::
16 n SO FT=
41 jAN } l cA#"'':••
i:i :,`.i(`RIPTION`► (vl"'(:ii.JF' TYPE
2ND FLOOR R-3 VN
.1. TEM y.yE::;:':::1 .#:3:: T'ION
RESIDE
NTIAL >'II:D1i::N'T::AL. \/r"r#...U(TI1:r !
F (6 F #::. r4 t,. j 1.,, (.` 1..# h•1 R rY E'.
COUNTY
•
PHONE= 509 922
':M ;3
. 1_ 'r';
ADDITION= :• CHANGE OF W.J.
BLDG HGT= 24 STORIES=
SPRINKLER= N
CRITICAL MAT= N
e?: jQ .;;..;;..i<::Ja ** iii 3E :)i.* •r * ii * * * * •ii' 3k nr:*.;,; * ;,, .N..;i..x. y f. ;,: MECHANICAL PERMIT 'M.: i7*3: PA?i1(C Ki;N*..,,.:
*; y;; ,
CONTRACTOR= Bt
"TA.
::
k:1...1..1 N D ?.'{ 1:;, i:? ,,,
HERALD
SPOKANE WA
::i is a' (:..1.., ,I' 1....i..l: Ci r'1
DUCTWORK SYSTEM
GENERAL CONT, PHONE= 509 922 992
RD
P 1::1::' r, •T TYPE R.. E.. E AMC)
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•
�� r'::. (:,� r'd fd I'? .f 1_: (••1 I,..
1::` R;r I'.f # 10 s i. • (.5
JOHN LARON
;;ilii'}',J•.1•,1: j.''r"
AMOUNT FAT T?
00
A r: J
,..************.***************4' 1 ' • 1"I 1 `r ' t''
10,00
1,i ii }+ P.. t? p ti , , .;i.* * ry.;i. 1(.:p..;,, * »- '::f:....... {,? <i :» 'N' ii q? * k-'rr'
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
/ 6;r// / 3 3
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
tax
S % e9 --k__ IAA
'9' ZO 4.
te
BLOCK: / LOT: % ZONE: 3`6 -DISTRICT:
LOT AREA: (r, 6 4 F/A: WIDTH: CS DEPTH: P5'2_ R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: L /\/ 2-4 k11-1
MAILING ADDRESS: .S, q
PHONE: ,Q2q — cJ2L — 2 -76 b
CITY/STATE/ZIP:e)q-r�-� lift 9'
CONTACT: ECJ 8
PHONE: -9ZZ- 9/92 -
SETBACKS: - FRONT: 4/ LEFT: 0/Z80) RIGHT: Z d REAR: CIS --
PERMIT USE: c1cL d ► ,r} L
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: .' CLL, ?2 ( 09/ C
CONTRACTOR:. EC Vy-.c1 ale° S •
PHONE: _922_ c c 9 2_
MAILING ADDRESS: S 23 2 J HeraA kti4 1g2 O b
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION:/% CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: Z
BUILDING DIMENSIONS: /., X 2 (WIDTH X DEPTH) SQ. FT.: -1/6.
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
7x4 wryL(rEs
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