1990, 08-02 Permit App: 90003703 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
'(509) 456-3675
I certify that I have examined this permit/applkation, 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 processuig tin ,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
PROJECT NUMBER= 90003703
DATE '= 08/02/90
APPLICATION
PAGE= 01
9)49114)1x94X)4)1•::3H4.e*.l(•.)(..x...x-.**.*.e.e***•7(• ** APPLICATION k**le*X3ii(..ieie.*****.*.)S AF r29r d(..k*.*.* di ii*)(•**)Ni
SITE STREET= 10711 E GRACE CT PARCEI...11:= 08552-1 514
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT USE= ADDITION TO MOBILE HOME -- BEDROOM
PLATO= 003553 PLAT NAME= COACH --LITE ESTATES
BLOCK= 2 LOT= 14 4 ONEA= RMH
ARE:A= F/A=:: F WIDTH: 68 DEPTH= 11'5 R/W::::
C OF BLDG'S= i ;I: DWEI...LINGS 1
OWNER= GROFF , BERT
STREET= 18711 E GRACE CT.
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME:= BERT GROFF PHONE NUMBER-: ri09 9')') R916
L;UILDING SETBACKS: FRONT:- NA LEFT== 2'i RIGHT=ir RIGHT-=iREAR= '<
r x 34 34 94 37 34;;..x. *:x..x. X..x. * * * ri 34 *.X..x..)(..x..x..x. *..)i..x 34 REVIEW INFORMATION * x X 34 X 34 x •X• 37:3: 3t: 3r 3(•) 3;,:.„:.,::.),).)(. k p::u)(p:
PHONE= 509 920'8516
DEPARTMENT REVIEW COMMENTS
BUILDING PLAN REVIEW REQUIRED 5//Zjrl0
BUILDING SETBACK REVIEW REQUIRED 40
`�
HEALTHDIST INCREASE IN LOT COVERAGE.
APF'R:lVAI..• COMMENTS
,,"fit`^
_.�EITJF3 RCEfz_______
.)(..)(.:ri..X..**•)(X•3(•3(•3(•.4343434 34x343431•*gi:.3..X.x.*.)(•***.4x BUILDING PERMIT **•fi..x•.g. )en....34)(9it 33434.ij•)i X3a*973734
CONTRACTOR= OWNER
PHONE=
NEW= REMODEL= ADDITION= X CHANGE:: or USE=
DWELL. UNITS= 1 OCCUP. LD= BLDG MGT= S'Tr:fF:TES':=
BLDG W X D - 15 X 15 SP ET== 225 SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADT) R-3 VN 225 7425:00
PERMIT TYPE FEE AMOUNT AMOUNT PATO AMOUNT OWING
BUILDING PERMIT .00 .00 .00
,00 ,00 .(70:
PROCESSED BY: WENDEE.L.., GLORIA
PRINTED BY: WENDEI.., GLORIA
943e**)****3(#h***3*3** drx*x3t'*3H*****3i THANK YOU *ri343i4(*3i***3i kib :ri 3c 3f3 3* 3*ii a; 3(ri riii
Spokane.County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: 67 % ci 7,//
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
�1U 11.9a.2
LOT:
LOT AREA: F/A:
ZONE: DISTRICT:
WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWWELLINGS: ' WATER DISTRICT:
PHONE :. Sd 9 - 1;7,2 - .S/
OWNER:SS/
SQ
fl1Q27
MAILING ADDRESS: et 797/7 �. /a �� ��
CITY/STATE/ZIP: l ac, G(/ 994 7
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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:
/ -T
X AC- (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
L O 14
COACH -L ITE
ESTATES
COURT
85.I :'
8ce % ' n"
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