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1991, 09-11 Permit App: 91005696 ResidenceSPOKAIWOUNTY DEPARTMENT OF BUIL.GS 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 APPLICATION OWNER OR AGENT DATE PROJECT NUMBER== =31005696 APPLICATION DATE= 09/11/91 F:Af;F:: 01 J**. J*xJt THIS IS NOT A PERMIT Ji•Ji•J*Jt •J* PENALTIES WIL..I... FE ASSESSED FOR COMMENCING WORK. WITHOUT A PERMIT SITE STREET= 1 1 0 f MICA PARK DR ADDRESS=== SPOKANE WA 99206 PERMIT L.JSE:•=• RESIDENCE •._ ELECTRIC FORCED AIR BLOCK= AREA- BLDGS= OWNER== STREET== ADDRESS= PARC I._ a:__ 20543-1904 003150 PLAT NAME= MICA PARK AND AMENDED 3 LOT== 1 TONE 1.JR',.,. A 5 1> [ \ TH W F A=== F WIDTH= DEPTH== := DWELLINGS= .1 WATER DIST ::_ T I DYMAN' S CORPORATION 1 i 515, APPL.EWAY AVE GRI":E.NACRES WA 99016 CONTACT NAME= MIKE.: PEARSON BUILDING SETBACKS: FRONT= 55 LEFT= 18 R W: PHONE== 509 928 7480• PHONE: NUMBER= 509 922 6735 RIGHT= 38 REAR= 100+ Ji•J**iJ*J*Jt•M•J***•J*J*J*'aJti*isJ*•it*>tJ*J*J*#it•J*J*lk•J* REVIEW INFORMATION *J*J*J*Jt*•>aJt*:•J* DEPARTMENT REVIEW COMMENTS BUILDING BUILDING EtL_I:11j.Da:Nc PLAN REVIEW REQUIRED SETBACK REVIEW REQUIRED E: - H:Rc:,' 1 AN REV:E e F FOU • APPR AC RE a_,z) 170-v cc) Jt•}r•>w *****•}r#*•r.•• NTS' 70 FLOOD PLAIN/DR J*:.Jt•M•XJtJ*J*•H•JtJtJi••JtJ*J*Ji•*:•;rJ*J*•uJ*l**J*J*J*J*•k Jt Ji• BUILDING PERMIT :t*Ji•JtR*JtJtJ*}t'••}lJ*•K•* MEJ**••}*•)*J*JrJ*Jt•}k*•M•** I HEAL..THDIST NEW OR ADDITIONAL WASTE WATER /1...9 CONTRACTOR= STREET= ADDRESS= UNKNOWN UNKNOWN UNKNOWN WA NEW= X DWELL UNITS= EL.Dfr W X D =__ REG! PARKING= UNKNOWN REMODEL= OCCUF' 1...D=== SQ FT= •HANDICAP==: 2314 PHONE= ADDITION= BLDG HGT-. SPRINKLER= N CRITICAL.. MAT: N CHANGE OF USE= STORIES= J* * * J* * x• J* Jt Jt• *i• * * Ji• * •}t Ji• *; •}* * Ji• ** *:• Ji; Jt * )* ;ti * .x• * ;t MECHANICAL.. PERMIT J* Ji• J* J* J* J* J* J* Jt• *: J* • •>r J* .* J* .}* J* J* *: •x• * *: •x .;* J* CONTRACTOR= UNKNOWN STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN ri•Jt•J**:ri..n.}t:M....*+**i•J*JtJ*J*Ji.J*.W..}*Jt***.:p:Jtx PLUMBING CONTRACTQR= UNKNOWN TRE:ET==: I_JNK NOWN ADDRESS:== UNKNOWN WA UNKNOWN PERMIT PHONE= J* J* * Jt . •M• J* .), •}* •it .• * •H •$ ii a: Jt * Jt }t J* Ji• ri J* .» •A •}t ,) •}t Jt PHONE= PROCESSED E Y : WENDEL.., GLORIA PRINTED BY: WL=NDE1.-.; GLORIA J* J* u, * •k• Ji• J* J* * Ji• J* * J* J*•a* Jt J* ri J:• * >t Jt •N:• }i Jt Ji• * Jt ri• Ji• Jt THANK Y O t.l ******************4************** *kane County DEPARTMENT OF BUILDING & SAFETY • West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 • INFORMATION WORKSHEET PARCEL NUMBER: ft61/ - /Q6 STREET ADDRESS: S /It/ (0 nfKK CITY/STATE/ZIP: 9/50 SUBDIVISION: NI; CA �q.�k A-oD BLOCK: 3 LOT: 1 ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: i aNiM )15- 0.1)R QofAQlU.J MAILING ADDRESS: E. ri SJ S PNopuTAoty CITY/STATE/ZIP: Ce -w44(129 . WA CONTACT: 1111,g B ey p,J PHONE: 5-09 - � Zf� - 7 y8 0 9�oib PHONE : 5-O S- 22 - 41735 - SETBACKS: 735 - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: 11dr.4S CiRpo104.,4 MAILING ADDRESS: �, �"7�j S AA/ (i PHONE : 5-0 - CJ Z8 - 7,180 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: )( REMODEL: ADDITION: CHANGE OF USE: . DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: Please provide the following inform for Energy Cotte compliance: Space heating type (check one) Forced air electric Forced air gas Flat ceilings R Vaulted ceilings R Above grade walls R Below grade walls R Floor R Slab on grade R • Electric baseboard or wall mount Propane Heat pump Other: Doors U Windows U Glazing area Total floor area of heated space Furnace efficiency rating : Please indicate on your plans: The location of the radon vent, and the location of the vent fan area. Square footage Main floor: 1 S1 Second floor: Basement - Finished: Unfinished: Garage: Carport: Decks: Additional Areas: OCT-fl2-'91 09:57 ID:HEALTH SPO TEL NO:94582243 #941 P01 • I. \ , 1•••• ) 9— 1 MIN •11111. ,11•180,. •••••••• $16 esoma.m.- -//45(,•44t7 16 E et AL, rr JAN -22—'92 11:39 ID:HEFLTH SPO fT a TEL NO:94582243 #528 P01 (1.3 pI ---40 c.)1 7r— r •• -) o 1 1/ 4.)