1987, 12-02 Permit App: 87004094 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675 '
1 certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to conipte said permit is true and correct 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 and any subsequent inspection
approvals or Certificates of Occupancy, shall not be construed to give authority to violate or cancel the proviswns 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 - DATE
APPLICATION
PROJECT N(Ji1)3ER:::: 37004094
dt..ii..., iit..F.-, . d{')F*1{dkdk.}{..16......) d(»ie-e APPLICATION
SITE STREET= 171 E MISSION AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION
DATE.= 12./02/87 PAW r:::" 01.
APPLICATION ..
PARCEL..:g:_= 09543-0937
PLAT::::: 0O08851 PLAT NAME.:-:: FAUSER' S ADD,
BL_CiC1:=:
1 LOT 2 ZONE= A G; F: ]: ti ]: S T 1;::::: F:'
AREA:::: 00000000 — - F/A:.:: t F W:I:DTi-I::::.. 1 Qtr DEPT FE:-: 135 -R/W=
i. OF BL.DGs:::: . 4 DWELLINGS= 1
OWNER::: I-EOCHHAE._TE..R, NORMAN D PHONE :509 922 9k3
STREET= 1715 E MISSION FIVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= OWNER PHONE NUMBER= 509 922 9813 •
BUIL-DIN(:; SETBACKS::FRON-i:::: 0000 I...E_FT::: 0000 RIGHT= 0000 REAR= 0000
.}{..p;.k..}¢.)(..p..y.gp.x..h..lp*.n; **#*:,{.y..);.}{.* pp.}t..}{.REVIEW INFORMATION .xq{.j:.:x.**ii'iI:o-9Y')a){9@.7r.)i'dE'4:'$i li .ti. is i'i }r+i"Fi±i'
DATE
DEPARTMENT NAME REVIEW COMMENTS INPUT INIT=IALS
ENV.L.RONME:NIAL Hi:::r..T.H • INCREASE :[N- LOT COVERAGE
(2G Lc C. C v N co-ti.p
:f{..4..)t..}(...)(. 3i .3t 3a.y'... h:. ar.4 * *.4..4.4. ,.{..)r. 3a .}t..4 .$ y. .}
071202 E:; M W
BUILDING E:'l:.RMIT w************)
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***If ii..)i..j{.h'_Pi i
CONTRACTOR= OWNER PHONE=.:'
' NEW= REMODEL= ADDITION= X' 'CHANGE USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D ::. 2ia X' 20 SG FT= 400.
REG! PARKING"= OHANDICAP:=' SEWER=: Y IIY'DRANT:- N
DF_S'Cl:i]:FTION GROUP TYPE: SO - VALUATION `
RIES ,ADD R-% VN 400 10800.00.
PERMIT T TY'P E:: FEE AMOUNT' AMOUNT PAID.. • AMOUNT OW.LN(: '
BUILDING PERMIT ..00 .00 001
.00 ' _0 .00
PROCESSED BY WE:N:DEL., GLORIA
PRINTED BY: IWENDEL_, GLORIA
) .Y:*iii 7{..yi.}{..}{. h. }{..g.*.)p3i.*3e .. If.********** 4.'THANK YOU.}{..Ai.t;?_..v)a'.7(.iq..lti{.*4.3(..4..y..p. it..* 7t4444444)i;3' *3{ 3: 3t X—:
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DEPARTMENTAL REVIEW
�(`-,
Approved
Cond.
Approval
Hold
Environmental Health Application
W. 1101 College
Room 200
#
-
1T/t�) / • `
--k
Planning/Zoning
721 Jefferson
-
ifN.
kifit
AI
.0 . ti dy/1 C4Nbk/ t /40.47
i
07
.f'Hmnier Sieie ynl
SPMacet „need 4.44n /P -c_
: F!f vdfr6on -% AeiS /e
ec'
�y (itd/0,4af-�
A\
Engineers
N. 81-1 Jefferson -
-
r
UtilitiesN. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Materlal/etc.)
-
Fast Track/Special 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
(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)
t Project Numtier;? / ,« "-`*+t';•
Owner's Name LAST FIRST MI
110 Cif kitLri2---' /1101°,41,.AO
Project Address (Street Name & Numberumber)
.. )07C 9
Atissioki 1z0‘,.
Applicant
SSI
Address
City -
State
Zip
Phone
(5o7) 1722-7/13
Business Phone
Contractor/Agent
Address
City
State
Zip
Phone
Contact -
License Number (Required)
Business Phone
Architect/Engineer
Address
City
State
Zip
Phone
Contact - - -
Business Phone
)
Lender
Address
City
State
Zip
-Phone
Describe Work'`?„!: .:..{C x- °Fi(:4=a%.: - :•'`'l.c`. ;r',.. eY,(w" ..ra -,,,,,:i..:.,.?:.-✓
.. .�;� - i,l :.-. '.
.Subdivision/Plat
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Comms .-.Y.,
Name/Short plat Number: ri$ty+ _ _ �•'-: -
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Pertinent File Numbers 4 ",6= -'r` -•c•.
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Zone./(�.'%�%%%.'�/�.. ,1- `,.
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'Comp. Plan .r , - _
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Cansud Trail" . - -a • . 11.
4•
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ENwnber of Dwelling Units.:,,+
..In
(';� `�-•:
` Numbei,of Buildings •.'�^
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Depth °..•�1,... _-n
Frontage',
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'Front Setback ;!/ �
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Left Setback '+ a •'•
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Right Setback" M• --
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Rear Setback ,,. -,tn
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100. ( .-.
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