1990, 05-04 Permit app: 90001893 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/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
OWNER OR AGENT
ONG
REEIDENCE ADDITION
PLAT NAME:, RA -N
CONTACT
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REVIEW COMMENTS
PLAN REVIEW REQUIRED
r, ; ; : L. DING SETBACK REVIEW REQUIRED
HLALH.10IS! INCREASE :IN LOT
APPLICATION
DATE
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APPROVAL COMMENTS
1V.i 4,:Lv ................�J' I 40
.ter..
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RMIT TYPE
BUILDING PERMIT
FEE AMOUNT
67,50
...........................................
10
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
LOT AREA:
INFORMATION WORKSHEET
6_5/ 6
75y—
jv c=001.1 4 e, A) , rO q o •
&i evUA /'Esq LAI 1451,1 t-ic, tcjaJ, 'CYO/ 40
LOT: ZONE:
DISTRICT:
F/A: WIDTH: /SD 'o'i DEPTH: //j/ R/W:
# OF BUILDINGS:
# OF DWELLINGS: / WATER DISTRICT:
OWNER: s.j p j j /1„ AN et,
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
A) a De, o .�. .77o .96(
PHONE: - 9 P4,- ?a 9A/
rr/ 4,. r e s , r96Gi? h., lvn/
PHONE:
SETBACKS: - FRONT: LEFT: 2) RIGHT:4/5REAR:3 e
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
1-4_)
MAILING ADDRESS : J11, o o U L D wc7 /0 e i4 4
ARCHITECT/ENGINEER: c9Le,,,L ,e,e
MAILING ADDRESS:
PHONE:
4%:)(4,- 7 a 5 11
PHONE:
NEW: REMODEL: X ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
BUILDING HGT:
STORIES:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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