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
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PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
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NEW= X
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ADDITION=
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SPRINKLER= N
CRITICAL.. MAT: N
CHANGE OF USE=
STORIES=
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CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
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CONTRACTQR= UNKNOWN
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ADDRESS:== UNKNOWN WA UNKNOWN
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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
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