1987, 05-04 Permit App: 87001202 Enclose BreezewaySPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
• NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined 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 ornot.The granting of a permit does not presumeto give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF ,\���.Jj
OWNER OR AGENT
e• A..h..Ii..4.4'1P * * oi" 4.# .ta'h Y..li.
APPLICATION
DATE
NUMBER=
DATE=
0700i20,.;
PAGE— 01
A.h'.>i'.u.x..)p.1i. I-;II::i`i:fl .INFORMATION ah'x,r'uio'x:'n ttttritt'nNl:g*m.al';rAir,.itm:n'lu
STTC STREET= 1O023 E:: .Lpr'I'Srli`4 DP PAEiCai-L4= 0i'i552--0O0
ADDRESS= (:'IT IS ORCHARD bila ^.41:727
F'P;:F:;.t'C'I USE= ENCLOSE BREEZEWAY
PLAT.8:::: 000144 PLAT NAME= 'DARKER ROAD MOBILE HOMES 'Li
BLOCK= 7 LOT= 7 ZONE= EiMH E):I ST O
ARF(,:::: 0(:)0i)0(j0() T:'/A:::: r IJJ.i,i'Ii.::: 70 'DEPTH= '100 Ef:'I
:6: rII BLDGS= DWELLINGS=
OWNER= PRATT, DONALD
STREET= iOC23 h: ,1t1CV.70N DR
ADDRESS= f.1..(.,I S ORCHARD WA 9902r7
PHONE=
COIN T AcT NAME:::' PILL DAtt'L S PHONE NUMBER• :+'?F; t 11
111 L.O1:NG SETBACKS: E I''ii.-jNT:. LEFT= RIGHT REAR=
4"IIT.44'H'Yi"4"$'li'j(..j(.gl'1P4"Pi it/{II'* d!'rt'h'•,Y•9¢.1{ BUILDING P.. R 1 .)r'h9l'P:91'Y.:IL IR:1l..h..A * dI R"A 'lu.P. u:1f.IP.fi id ',k dk P: a: AF.P
CI'1NTI. C:TOR•:: KEYSTONE CONTRACTING
sTRI::ET:=' 202300 W MAXIJI::L.L AvE
ADDRESS= SPOKANE WA 9 205
NEW=
DWELL UNITS=
(iti..:ot:; Lal ';( 'r)RFQ PARKING=
REMODEL=
OCCUR, ID=
32 SO FT=
Elt'it\1ia:CAP:
456
PHONE=
=
509 328 .,
ADDITION= X CHANGE USE=
BLDG HGT=
S'i'Cih':I'I::';:' : i
SEWER= N MYnRi'11TT'= i'•!
CE,SCRII' T'I.ON GROUP TYPE ri;t FT 1;AI.L.Ir;...t.I
DE:rK COVER Li --1 v0 c1_ 41 f, i824.00
TTEM DESCRIP''TION \ 1!- QUANTITY PF'Ii::C AMOUNT
RESIDENTIAL.. VALUATION i! Y 43,00
STATE S'L11'pl.a•I;.'.rE'tirE:1 Y 1,50
@h. • d(.ii..h.*%(*..u..tt..h.q{..)i..h..tt..p, .h:')4.N':oi'A'd+.;. ii*•1F Ir'AYMEN( StIiiiiAR'Y.M.4.4444;1:ai'ri",ii!.•h9(.44.h.p}4.,i)P„i+, .n..n..y, .,li;Pnc
PAYMENT DATE IECETPT4 PAYMENT AMOUNT
05/0.4/,7 1567 44,150
T Ct T A L DUE= AO TOTAL. PAID= .“.50
MAY -01—'87 16:0 ID:HEALTH SPO
TEL NO:509-456-4716 #097 P01
MAY -01—'87 16:02 ID:BLDG AND SAFETY—SPO TEL N0:509-456-4703 U4065 P31
SPOKANE COUNTY DEPARTMENT OP SUILDING AND SAPETY
NOATH 811 JEPPERSON
SPOKANE, WASHINGTON 99200
(509) 465.3070
I certify that I hove axemined this permit and elate that the Information oontslnad In It and submitted by me or my Agent to compile said permit is trueand
corrom. In addttivn, 1 have read and understand the NOTICE provlelcne Inoluded herein and ;pore to comply with came. All proviCons of Iowa and
ordlnMOee oo mrr>Ing thlatype of work will be complied with whether apaolfled herein or not The granting of a permit does not presume to glue authority
to violate or oanoel the provislgne Weeny state or local law regulating construction or the Woman Ott at 0000ru011pn.
SIGNATURE Off , APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER" 87001; 4))
DATE" 05/01/07 PAGE" 01
4N)01x+1•4**4440•sratmw'OX)+talar*aca4,l.xa (104.$a4at APPLICATION OOKat<•eaa4S*44Reta4>EhataI%ffRac**41%4X4tl(
SITE STREET= 153£3 ...3 L JACKSON DR PARct!LiI- 08552-0807
AD1)itE;.SS4: OT IS ORLHARD WA 9902'7
PERMIT USI:;-' ENCLOSE BREEZEWAY
PLATO= 000146 PIAT NAME= DARKER ROAD MUVILE.: HOMES 1ST A
BLOCK= 7 LOT= 7 ZONE:::: RMEI
AREA= 1)0000000 h/A:.= F WIDTH" 70 DEPTH= 160 R/W"
8 or SLUGS':: 2 4 I)WII..LTNI:S':::
OWNER" PRATT, DONALD
STREET" 18823 Iii: JACKSON DR
ADDRESS" OTIS ORCHARD WA 9902.7
CONTACT NAME" I1T....1. DAVIS
BUILDING SETBACKS FRONT" LEFT"
14*816th •If••1t••14it•fl•0404i494t4* 414d4004ti44t 4KNdt•7hdi••)I RE:'VTI:::W
DEPARTMENT NAME
BUILDING & SAFETY
ENVIRONMENTAL HEALTH
PHONE"
PHONE NLIMI;rI::R:: 509-32E-6044
RIGHT" REAR"
INr"ORMATI0N 04940404k44404640461F441414i4#*141t•*948•*8.14,*
DATE:
IN/OUT INITIALS
REVIEW COMMENT,.
.................................. 0000 .,.
PLAN REVIEW REQUIRED
CIIMP 41.10001.11
INCREASE IN i,C3'r' (:;f)VERAGlii.
•*4(*81414X1(4J444049414u*44*111(141:a48**a4*)nt* I+IHTI DING
CONTRACTOR: KEYS•TONI::. CONTRACTING
STREET= 202300 W MAXWELL AVE
ADDRESS= SPOKANE WA 99205
_NEW"_
DWE'I...L.. UNT1'Su"
CIL..DGW X I)
REX4 PARKING=
REMODEL.""
_ _ -
1 OCCI.'p. `L.):)- -
12 X 'ilia .S'L FY"
*HANDICAP"
(:3 70301 GMW
870501 GMW
Ofti
PERMIT 1i)i••iid9*•814141411.91ffi9414.14949414949494R90048.94#,
456
PHONE" 505' :28 6044
ADDITION— X
BLDG E1(;'r'0
CHANGE USE"
STORIES"
HYDRANT" N
(THIS IS NOTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
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.%oject NUmber'P.•wY .,- a}y.c.;
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Owner's Name__ `` LAST FIRST MI
Project Address I tr 1 Name & Number),V Zip
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Applicant
Address
City
State
Zip
Phone
( )
Business Phone
I )
Contractor/Agent
Address
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City
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Slate
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Zip
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Phone
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Contact
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License Number (Required)
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SVG—x-141
Business Phone
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Architect/Engineer t
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Address
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160 \ t4'Th t At. A
City 1 State
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Zip
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Phone
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Phone
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Plat Number
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Census Tract
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of Buildings
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Frontage
-
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;Additional Information r.":.` , • T ---,'- - ,• ^2 - 3- ;--
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Group
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DEPARTMENTAL REVIEW
Approved
Cond.
Approval
Hold
Environmental Health
❑ W. 1101 College
Room 200
Application #
Planning/Zoning
❑ N. 721 Jefferson
Engineers
❑ N. 811 Jefferson
Utilities
❑ N. 811 Jefferson
111
Plan Review/Fire Prevention
N.811 Jefferson
1114-412-e-eLAIAlertit
Other (SEPA/Critical Material/etc.)
Fast Track/Speclal Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature Date
Were. /Se (2&d
7 ,B7
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