1991, 03-20 Permit App: 91001245 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDINGS
,..--•-Wer303 OADWAY 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 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 .-s/
z , /?
OWNER OR AGENT , !/ �� DATE
1
9f'�::01 245 APPLICATION DATE= t . f 2!�;/try1
PROJECT NUMBER- r
**•at....; THIS :1:{; NOT A PERMIT :in:**•*•t
PENALTIES W1:i:1...I... BE:: ASSESSED ED t (:iR'< COMMENCING WORK WITHOUT ,:, PERMIT
P AGE- 01
SITE ; tE1T:86-12
6 i2 f;NCAVE =,. '!1 „_ 07544-0351
ADDRESS= SPOKANE WA 99212
PERMIT I. S E:::- FR 1:: ,: ADDITION .... BEDROOM
k S...t: ; 4— 002974 PLAT NAME- WEST VALLEY ADD NO
—
BLOCK- LOT= ZONE= UR—3,5 5 r:+1: ;,..T.::::::
A R E:` f t :::: F r` ! -:: 1:;• WIDTH= ? ;ti DEPTH- 150 R/W= 6
4 C)1:. T:{I...Ut.Y,•.... e •i; DI4E:1...I...Ir4tYS.... S WATER DIST ::::
O:1WNE:FR::: TF•IT:)MI:'Si')N, RICK 0
STREET- 9612 E KNOX AVE
ADDRESS- r i:) I A iii F:: WA 99212
PHONE= +::09 922 3684
CONTACT NAME- RICK '•CF'1OMP ONPHONENUM ER= ti: 9 922 .T... 4
BUILDING SETBACKS: FRONT- E:: 1: LEFT- ' ? RIGHT- NA REAR= ,: {:i .
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.. .. ....
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ii
DEPARTMENT
REVIEW C::f)rIMEN`t`S AFP'i'::OVA1... COMMENTS
BUILDING 1::i..f•"•'riv REVIEW REQUIRED
BUILDING SETBACK Ftil::V1:E::W REQUIRED
F1 I::: A i... `T" Fi t) :1: ;; •r N I:: W OR ADDITIONAL (r; !; `'TE WATER
4(.****************************** 'f•{ I.. .E I.. D I iii G 1"+1:: F;. t'11 c =; ?+: ar r
CONTRACTOR- OWNI:::F:: PHONE -
NEW=
DWi:::1...1... UNITS=
X D
BLDG (41 ..
REQ 1: ;l';K 1.i (.:;:::
s:?
REMODEL-
OCCUP, LD -
20 SQ FT=
4rn.'
HAN:oi:1(i1`'::••
.1 6 0
ADDITION= 'x CHANGE OF USF -
BLDG
3,r°.-,::{l...DG i-ic;1`::::
P RINKLER-:: N
CRITICAL MAT= N
T)E:::.':::R:CF°T:I:C)Nr C;FRi:)1JF' TYPE }O F.r VALUATION
i":E:..`.',` ADD R-3 VN .160 5200,00
:ITEM DESCRIPTION QUANTITY FEF:: AMOUNT
FRf::.SIDE:.NT IAI_.'AI..UFi i 1.ON Y 91,00
STATE SURCHARGE{' 4„50
COUNTY SURCHARGE ' 2,96
PERMIT TYPE
BUILDING PERMIT
F• E: E:. AMOUNT f if1f..Ei.IC' ... PAID AMOUNT (::!W.1.!`•ic,•
98,46 88 98,46
98„46 00 4
tt1::.NDI::.I...: GLORIA
! 1'. 4r .t'• ; WE:.NDE:1... r GLORIA
STnRTEE-
.)E..rt• •h• * *.i,.:n..r+ •);..},-.:p.** A )t• )C s: S: b: r:* ii .it. ri• •i+i n K .p: ;u .),..k. * THANK Y' o I.; rE• * i+: i n• * )+: •)+; * * :ti• * •n:• * :k )i• * h; * b:4
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: e5/5//e/ _ f 5/
STREET ADDRESS: _� / 2 k/v Us(
CITY/STATE/ZIP: (,14s/4/ 6/7 .2/2
-14
SUBDIVISION: { /E- ALt_cl! Abb 2_
BLOCK: LOT: ZONE: DISTRICT: -C
LOT AREA: F/A: WIDTH: 7 DEPTH:�5 u R/W: �1
# OF BUILDINGS: r # OF DWELLINGS:- 1 WATER DISTRICT:
OWNER:
)V/67(
MAILING ADDRESS: L' gL /z �ivUn
PHONE :`' - /Z 2 -
CITY/STATE/ZIP:
CONTACT: i i, /) . ?`„J .N-• PHONE:
- -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
f0 �{dL'S e
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS: �,� e-
ii/c
PHONE: - C2z- .36g,i
ARCHITECT/ENGINEER: /eic,/c
MAILING ADDRESS:
j,/ 2
rh'v.�� sc•._
PHONE: - S 2 z -
NEW: ` REMODEL: ADDITION.
CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:
STORIES•
BUILDING DIMENSIONS:X (WIDTH X DEPTH) SQ. FT.: /60
REQUIRED PARKING: # HANDICAP: SPRINRLERED: CRITICAL MATERIAL: